Failure to Conduct and Document Resident Care Conferences
Penalty
Summary
The facility failed to conduct admission or quarterly care conferences and did not invite or involve residents and/or their family representatives in the care planning process for three residents reviewed. For one resident admitted in January, there was no documentation of any care conference or evidence that the resident was included in the development or revision of the care plan. The resident confirmed in interviews that she had not participated in any care conference or been asked for input regarding her care plan during her stay. Another resident, admitted in July, reported never being invited to a care conference or having input into his plan of care. The electronic medical record showed only one care conference, which the resident was invited to but did not attend, and there was no evidence of additional care conferences. The social service director acknowledged that only an initial care conference had occurred and that subsequent conferences were missed due to staff absences. A third resident, admitted in January, had only one care conference several months after admission, with no documentation of an initial care conference or early family involvement. The social service director explained that scheduled care conferences were not conducted or rescheduled due to her absence. The facility's policy required timely care conferences with resident and representative involvement, but this was not followed, as confirmed by staff and documentation review.