Failure to Update Care Plans and Hold Timely Care Plan Meetings
Penalty
Summary
The facility failed to review and revise care plans to reflect residents' current conditions and did not ensure that care plan meetings were held in a timely manner for two residents. For one resident with a history of obstructive and reflex uropathy, benign prostatic hyperplasia, weakness, and dementia, the clinical record showed a change in catheter type from a Foley catheter to a suprapubic catheter. However, the care plan was not updated to reflect this change, and the care plan continued to reference the Foley catheter despite a physician's order for a suprapubic catheter. The Director of Nursing confirmed that the care plan did not accurately reflect the resident's current status and care needs. For another resident with diagnoses including heart failure, hypertension, and muscle weakness, the clinical record lacked evidence that care plan meetings were scheduled in accordance with facility policy. There was a significant gap between care plan meetings, with the next meeting not scheduled or completed within the expected timeframe. The Social Worker confirmed that the care plan meeting was not held as required. These findings were based on review of facility policy, clinical records, and staff interviews.