Failure to Invite Resident to Participate in Care Planning
Penalty
Summary
A resident with intact cognition was readmitted to the facility and underwent several Minimum Data Set (MDS) assessments, including quarterly and annual reviews. Record review revealed there was no evidence that the resident was invited to participate in care plan meetings following these assessments. The resident reported having attended care plan meetings in the past but could not recall the last time one was held, and expressed a desire to participate in future meetings to provide input about his care. Interviews with the Social Worker (SW) and Administrator confirmed that the SW was responsible for tracking and inviting residents to care plan meetings, but had not consistently documented these meetings in the resident's medical record. The SW acknowledged that care plan meetings for this resident had not been held during the current year, and that the process had lapsed. The Administrator confirmed the expectation that care plan meetings should be scheduled and held with resident participation, as per regulatory guidance.