Failure to Involve Residents in Care Plan Meetings
Penalty
Summary
The facility failed to ensure that residents were afforded the right to participate in the development and implementation of their person-centered care plans. For two cognitively intact residents, there was no evidence that they were invited to attend or participate in their care plan meetings. Both residents stated in interviews that they had not been invited to care plan meetings and expressed a desire to be included in these discussions. Review of their medical records confirmed the absence of documentation showing that care plan meetings had been held with them or their representatives. Staff interviews revealed that the Social Worker was not informed by the former Administrator that care plan meetings were required for every resident on a quarterly basis, and was only conducting such meetings upon request or for specific events like changes in condition, wounds, or falls. The MDS Nurse reported being instructed not to participate in the invitation process, and the DON acknowledged that while care plan meetings were occurring, invitations to residents or their responsible parties were not being made or documented. This lack of communication and documentation resulted in residents not being given the opportunity to participate in their care planning process.