Failure to Conduct and Document Routine Interdisciplinary Care Plan Meetings
Penalty
Summary
The facility failed to conduct and document routine interdisciplinary care plan meetings and revise care plans as required for 11 out of 24 residents reviewed. Multiple residents did not have evidence of quarterly care plan meetings following their comprehensive assessments, with some residents lacking any documented care plan meetings after admission. For example, one resident reported not being invited to or participating in a care plan meeting for approximately six months, and several residents' records showed significant gaps between care plan meetings or no documentation of meetings at all. Staff interviews confirmed the absence of required care plan meetings and documentation for these residents. Additionally, the review of one resident with a history of pica revealed that their care plan did not include interventions to address this condition, despite the resident's known behaviors and medical history, including a prior surgery to remove a swallowed foreign object. The facility's policy requires care plans to be reviewed and revised by the interdisciplinary team after each assessment, and for care plan meetings to be documented, but these requirements were not met for the affected residents.