Failure to Involve Bed-Bound Resident in Care Plan Development
Penalty
Summary
The facility failed to involve a bed-bound resident in the development and implementation of her person-centered care plan. Despite facility policy requiring that residents and/or their responsible parties be invited to care plan conferences at least one week in advance, the resident reported never being invited to such meetings. She stated that she was bed-bound, did not leave her room, and had not been informed about care plan meetings. The resident also confirmed that her family was not involved in her care. Staff interviews revealed that while care plan meetings were held weekly, the team did not make accommodations to include the resident by holding the meeting in her room, despite her cognitive intactness as indicated by a BIMS score of 15. Social Services staff acknowledged that the resident preferred not to leave her room and confirmed that the care planning team did not attempt to involve her directly in the meetings. The DON also confirmed that the resident should have been involved in care plan meetings and should have had a direct voice in her care. The resident had been admitted with medical diagnoses including seizures and sequelae of nontraumatic subarachnoid hemorrhage, and was observed to be bed-bound at the time of the deficiency.