Failure to Hold Timely Care Plan Meetings After MDS Assessments
Penalty
Summary
The facility failed to ensure that residents were offered the opportunity to participate in their care planning process by not holding timely care plan meetings following comprehensive MDS assessments. Specifically, for one resident, care plan meetings were not conducted after quarterly and annual MDS assessments on three separate occasions, as confirmed by both record review and staff interviews. The care plan meetings are intended to involve the resident and/or their representative and are required to be held after each comprehensive assessment to summarize health conditions, care needs, and treatments. Interviews with the social worker revealed an ongoing issue with the timeliness of care plan meetings, with the staff member acknowledging that some meetings were overdue and in the process of being completed. Documentation reviewed by the surveyor confirmed the absence of care plan meetings for the resident following the specified MDS assessments, and no evidence was provided to show that the resident or their representative participated in the care planning process during those times.