Failure to Document and Conduct Care Plan Meetings and Address Long-Term Antibiotic Use
Penalty
Summary
The facility failed to ensure that care plan meetings were held and properly documented for two residents, and did not develop a care plan for the long-term use of an antibiotic for another resident. One resident, who was cognitively intact, reported not remembering being invited to or attending care plan meetings regularly, and her record showed only two care plan meetings documented over a year, with no evidence of quarterly meetings as required. Another cognitively intact resident also did not recall having a care plan meeting, and her record lacked documentation of invitations being accepted or meetings being held, with only evidence that invitations were mailed. The Social Service Director confirmed that there was no documentation of responses to invitations or that meetings occurred. Additionally, a resident with a history of extended spectrum beta lactamase (ESBL) and recurrent urinary tract infections (UTIs) was prescribed long-term Macrobid therapy for UTI prevention. Despite this, the resident's comprehensive care plan did not include documentation addressing the long-term antibiotic use, nor the resident's history of UTIs and ESBL. The Director of Nursing Services acknowledged that a care plan should have been developed for the resident's long-term antibiotic use.