Failure to Timely Review and Revise Comprehensive Care Plans
Penalty
Summary
The facility failed to timely review and revise comprehensive care plans for three residents, as required by their own policy and federal regulations. Specifically, the most current care plans for the affected residents were not updated in accordance with the required schedule, with documented dates showing significant lapses. During an interview, the Administrator confirmed that no one at the facility was responsible for care plans, as this task was handled at the corporate level. The facility's policy mandates that the interdisciplinary team must review and update care plans after significant changes, unmet outcomes, and at least quarterly with the Minimum Data Set (MDS) assessment, but this process was not followed for the residents reviewed.