Failure to Invite Residents and Representatives to Care Plan Meetings
Penalty
Summary
Facility staff failed to invite residents and/or their representatives to participate in care plan meetings for two residents. For one resident, who was cognitively intact as indicated by a high BIMS score on the most recent MDS assessment, neither the resident nor their representative received invitations to care plan meetings throughout the year. Both the resident and their representative confirmed in interviews that they had not been invited to attend these meetings. Staff interviews revealed that the process for sending invitations had lapsed after the departure of the former MDS coordinator, with the last invitation letter sent several months prior. For another resident, who had documented short- and long-term memory difficulties, there was no evidence in the clinical record that the responsible party was invited to care plan meetings, nor was there documentation of their attendance. A note in the record referenced a meeting set up to address a room change, but this was not identified as a care plan meeting. Staff interviews confirmed that the system for generating and sending care plan invitations had not been maintained, resulting in a lack of invitations for residents and their representatives.