Failure to Hold Timely IDT Meetings and Communicate Care Plan Updates
Penalty
Summary
The facility failed to conduct Interdisciplinary Team (IDT) meetings quarterly and as needed for one of three sampled residents. Specifically, a resident with diagnoses including diabetes, arthritis, and kidney failure, who had fluctuating capacity to make decisions but was assessed as cognitively intact, did not have an IDT meeting for over three months. The facility's policy requires quarterly IDT meetings and documentation of care planning conferences, but the last documented meeting for this resident was more than three months prior to the survey. As a result of the missed IDT meetings, the resident and her responsible party were not informed about the plan of care and were unaware of the results of a diagnostic bilateral mammogram that had been performed several months earlier. Both the resident and her responsible party expressed concern and worry due to the lack of communication regarding the mammogram results. The Social Services Director confirmed that the mammogram results were not present in the resident's medical record and acknowledged that the absence of a recent IDT meeting contributed to the lack of updates provided to the resident and her responsible party.