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F0657
D

Failure to Notify Resident and Representative of Care Plan Meetings

Cherokee, North Carolina Survey Completed on 04-10-2025

Penalty

Fine: $23,120
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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 ensure that a resident and the resident's representative received notification of care plan meetings, as required by facility policy. The resident, who was cognitively intact and admitted with a complete traumatic amputation to the left lower leg and Type 1 Diabetes Mellitus, reported not receiving any notice of care plan meetings prior to March 2025. The resident's wife also stated she had never received notice of a care plan meeting, despite specifically requesting to be invited at the time of admission. Both the resident and his wife confirmed they were not notified of any care plan meetings before March, nor did they receive copies of any prior care plans. Interviews with facility staff revealed that the Social Service Director (SSD) was responsible for setting up care plan meetings and notifying residents and their representatives. The SSD indicated that the automated notification system through the electronic medical record (ClinNEX in Point Click Care) had not been functioning, resulting in the lack of notification for the resident and his wife. The Assistant Administrator and Director of Nursing confirmed that it was expected for care plan meetings to be set up by personal phone call, mail, or hand delivery if the resident was their own representative. Review of facility policy confirmed the requirement to notify residents and their families or responsible parties of care plan meetings and to maintain records of such notifications.

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