Failure to Invite Resident to Participate in Care Plan Meetings
Penalty
Summary
A deficiency occurred when the facility failed to ensure that a resident was invited to participate in the development and implementation of her person-centered care plan. The resident, who was admitted with diagnoses including dementia, psychotic disturbance, mood disturbance, and anxiety, was found to be cognitively intact based on a BIMS score of 14 out of 15. Review of the care plan and associated documentation revealed no evidence that the resident had been invited to or participated in any care plan meetings, despite multiple revisions to her care plan over time. During interviews, the resident stated she was unaware of any care meetings involving staff from various departments and confirmed she had not attended such meetings, only participating in resident council meetings. The Social Services Designee (SSD), responsible for scheduling care plan meetings, indicated that family members were notified of meeting times and that sign-in sheets were maintained. However, the SSD was unable to provide documentation or sign-in sheets to demonstrate that the resident had been invited to or participated in her care plan meetings, even after multiple requests during the survey.