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F0657
D

Failure to Hold Interdisciplinary Care Plan Meetings After MDS Assessments

Frederick, Maryland Survey Completed on 06-30-2025

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 interdisciplinary care plan meetings were held following Minimum Data Set (MDS) assessments for a resident reviewed for unnecessary medications. Medical record review showed that the resident had a quarterly MDS assessment completed in March and a significant change MDS assessment completed in May. However, there was no documentation indicating that care plan meetings were scheduled or conducted after either assessment. When the surveyor requested records of care plan meetings since January, the Director of Nursing confirmed that no such meetings had occurred for this resident during that period. This deficiency was identified through medical record review and staff interviews, which confirmed the absence of required interdisciplinary care plan meetings following the completion of MDS assessments.

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