Failure to Include All Required IDT Members in Care Plan Reviews
Penalty
Summary
The facility failed to ensure that care plans were reviewed and revised by all required Interdisciplinary Team (IDT) members when quarterly, annual, and significant change assessments were completed. Specifically, for one resident who had been receiving long-term care for over a year, comprehensive assessments were conducted on four separate occasions. However, documentation revealed that the Geriatric Nursing Assistant (GNA) and the physician did not participate in the care plan meetings for these assessments, as their signatures were absent from the care plan attendance records. This deficiency was identified through medical record review and staff interviews, which confirmed the lack of participation by the GNA and physician in the care planning process. The absence of these required team members during care plan reviews and revisions meant that the care plans may not have fully reflected the input of all disciplines as required by regulation.