Failure to Conduct and Document Resident and Family Participation in Care Plan Meetings
Penalty
Summary
The facility failed to ensure that care plan meetings were conducted and that residents or their family members participated in the development of comprehensive care plans. Four residents were affected, including individuals with moderate cognitive impairment and one resident on hospice care with impaired communication. Interviews revealed that these residents were not familiar with their care plans, had not attended care plan meetings, and had not received copies of their care plans. Family members also could not recall recent care plan meetings for their loved ones. Record reviews confirmed a lack of documentation regarding care plan meetings or resident/family participation for these individuals, even after significant events such as readmission. Staff interviews indicated that care plan meetings were supposed to occur quarterly and with significant changes, but documentation supporting resident or family participation was lacking. The MDS Coordinator confirmed that only nursing and social services typically conducted these meetings, with no involvement from dietary or certified nursing assistants. Facility policy encourages resident and family participation in care planning, but there was no evidence that this was consistently implemented for the affected residents.