Resident Not Invited to Care Plan Meeting
Penalty
Summary
A cognitively intact resident who required maximum assistance or was dependent on staff for most activities of daily living did not have the opportunity to participate in the review and revision of his care plan. The resident had not been invited to a care plan meeting since his last documented meeting, despite having a significant change in status assessment. The electronic health record showed no care plan meeting had been conducted since early January, and the resident confirmed he had not been invited to any recent meetings, though he had attended in the past and expected to be included. Interviews with facility staff revealed a breakdown in the scheduling process for care plan meetings. The Social Worker and Social Services Assistant both relied on schedules provided by the MDS nurse, but neither had a record of the resident being scheduled or invited to a care plan meeting. The MDS nurse confirmed that the resident had not had a care plan meeting as required and could not explain why the meeting was missed. The Administrator, who was new to the facility, was unaware of the care plan schedules but acknowledged that residents should be invited to these meetings.