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F0657
D

Failure to Conduct Quarterly Care Plan Meetings

Indianapolis, Indiana Survey Completed on 06-10-2025

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 ensure that care plan meetings were conducted quarterly for a resident with diagnoses including paraplegia and major depressive disorder. Review of the clinical record showed that the resident was cognitively intact and had not been invited to any care plan meetings since admission in January, with only one care plan meeting progress note available from late January. The MDS Nurse confirmed that a quarterly care plan meeting scheduled after late April had been cancelled and was not rescheduled, and could not provide a reason for this lapse. Facility policy requires that residents be notified and encouraged to attend care plan conferences, and that comprehensive care plans be reviewed and updated at least quarterly, but no evidence was provided that these requirements were met for this resident.

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