Resident Not Invited to Participate in Care Planning
Penalty
Summary
The facility failed to ensure that a resident was invited to participate in the development and implementation of her person-centered care plan. Clinical record review showed that the resident, who was admitted with vascular dementia and polyosteoarthritis, was cognitively intact as evidenced by a BIMS score of 15. Despite this, there was no documentation that the resident had been invited to participate in care planning or attend any care plan meetings. During an interview, the resident confirmed she had not been invited to participate in the care planning process or attend any care plan meetings. Further review of the clinical record revealed that no care plan conference had been conducted for the resident since November of the previous year, and there was no documentation of any invitation to participate in the care plan process. The DON and NHA confirmed the absence of such documentation.