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F0657
E

Failure to Conduct and Document Quarterly Interdisciplinary Care Plan Meetings

La Grange, Illinois Survey Completed on 06-07-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to conduct quarterly Interdisciplinary Team (IDT) care plan meetings and did not invite residents or their Power of Attorney (POA) to participate in the care planning process for all six residents reviewed. Multiple residents and their family members reported that they had not attended or been invited to a care plan meeting in over a year, and some were unaware that such meetings were conducted. Staff interviews confirmed that care plan meetings had not been held, and there was no documentation of these meetings for the past year for the residents in question. The Social Services Director acknowledged that care plan meetings should occur quarterly and that residents and families are typically invited by phone, with documentation of their participation or declination. However, she was unable to find any records of care plan meetings for the reviewed residents. The Director of Nursing and Administrator both stated that care plan meetings are expected to include the resident, family, and interdisciplinary team members, but were unaware that these meetings had not been occurring. Facility policy requires the care plan to be developed by an interdisciplinary team and encourages resident and family participation, which was not followed in these cases.

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