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F0553
D

Failure to Include Resident Representative in Care Planning

New Bern, North Carolina Survey Completed on 09-18-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to include the Resident Representative (RR) of a severely cognitively impaired resident in the care planning process. The resident, who was admitted with severe cognitive impairment, had a family member designated as her RR. Review of the medical record showed that the care plan was last revised on 8/18/25, but there was no documentation of care plan meetings, attempts to contact, or conversations with the RR since admission. During a telephone interview, the RR stated he did not recall being invited to any care plan meetings and expressed a desire to be included. The Administrator confirmed that, following the departure of the Social Worker in June 2025, she was responsible for sending care plan meeting invitations but could not provide documentation that the RR had been invited for this resident.

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