Failure to Involve Residents and Responsible Parties in Care Plan Process
Penalty
Summary
The facility failed to ensure that residents and/or their responsible parties were given the opportunity to participate in the development and implementation of person-centered care plans for two out of three residents reviewed for quarterly care plan reviews. For one resident with respiratory disease and moderate cognitive impairment, there was no documentation of a care plan meeting invitation or evidence that the resident or responsible party participated in the care plan process. Both the resident and responsible party confirmed that no care plan meeting had occurred for several months, despite a recent care plan revision. Another resident, diagnosed with dementia and brain injury and assessed as severely cognitively impaired, also had no record of the responsible party being invited to care plan meetings for several months, even though the care plan had been revised multiple times. Interviews with current and former social workers revealed that care plan meetings had not been completed quarterly and were already behind schedule when they began their roles. The administrator confirmed that care plan meetings for these residents had not occurred since before the last recertification survey and was unaware of the lapse until the current survey.