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F0657
D

Failure to Involve Resident in Care Plan Meetings

Framingham, Massachusetts Survey Completed on 07-29-2025

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 was provided the right to participate in the care plan process as required. Specifically, quarterly care plan meetings were not conducted with the resident's participation, and there was no documentation that the resident or their representative was encouraged or invited to participate in these meetings. The facility's policy requires that the interdisciplinary team review and revise the care plan collaboratively with the resident and/or their family or responsible party at least every 92 days, but this was not followed for the resident in question. The resident involved had diagnoses of Paranoid Schizophrenia and Dementia and was assessed as cognitively impaired, but was usually able to understand and be understood. Despite this, the resident reported being unaware of care plan meetings and expressed a desire to be invited. Review of the clinical record showed no evidence that the resident participated in or was invited to care plan meetings during the specified periods, nor was there documentation explaining the lack of participation or any refusals. Facility staff confirmed that the resident had not been invited to attend care plan meetings and could not provide documentation to the contrary.

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