Failure to Involve Activated HCPOA in Care Planning
Penalty
Summary
The facility failed to provide the opportunity for a resident with an activated Healthcare Power of Attorney (HCPOA) to participate in the development and implementation of their person-centered plan of care. The resident, who was admitted with diagnoses of Cerebral Palsy and Chronic Obstructive Pulmonary Disease, had a Brief Interview for Mental Status (BIMS) score of 10, indicating moderate cognitive impairment and inability to make daily decisions. Despite this, the facility did not formally invite the resident's activated HCPOA to attend quarterly care conferences, as confirmed by both the HCPOA and the facility's social worker. Upon review, the facility was unable to provide documentation that care conferences were held for the resident or that invitations were extended to the resident and their activated HCPOA over the past 12 months. Interviews with facility staff confirmed that activated HCPOAs should always be invited to such conferences, but no evidence was provided to show this occurred for the resident in question.