Failure to Conduct Required Quarterly Care Conferences
Penalty
Summary
The facility failed to conduct quarterly care conferences for two residents as required. For one resident, records showed the last care conference occurred in March, and although the resident refused a conference in May, there was no documentation of further attempts or scheduling of subsequent conferences. The resident reported that no one at the facility had discussed their care with them recently. Staff confirmed that no upcoming care conferences were scheduled for this resident, despite acknowledging the importance of these meetings for care planning and communication. For another resident, the last care conference was held in February, and the social services team missed scheduling the required quarterly conference. This resident expressed concerns about food, emergency contact information, and a desire to speak with a mental health specialist, but reported that staff did not discuss these issues with them. Staff were unaware of the resident's mental health concerns and confirmed that no mental health providers were following the resident for anxiety or panic behaviors, despite the care plan indicating such discussions should occur.