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F0657
D

Failure to Conduct and Document Required Care Plan Meetings

Whitinsville, Massachusetts Survey Completed on 04-29-2025

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 a resident and/or their representative was provided the right to participate in the care plan process, as required by facility policy. Specifically, the facility did not conduct quarterly care plan meetings for a resident with diagnoses including Chronic Obstructive Pulmonary Disease (COPD) and chronic pain syndrome, who was cognitively intact at the time of the deficiency. The facility's policy requires that residents and their families be invited to participate in care planning conferences, with advance notice, documentation of attendance, and follow-up if the resident or representative cannot attend. Record review showed no evidence that the required care plan meetings were held or that the resident or their representative participated in the process for the scheduled quarters. There was also no documentation of any refusals to participate or of any contact made to review the care plan information with the resident or representative. Interviews with facility staff confirmed that the meetings were not held as scheduled and that there was no documentation to support that the care planning process was followed for the resident during the specified periods.

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