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F0657
D

Failure to Ensure Resident Participation and IDT Involvement in Care Planning

Elkton, Maryland Survey Completed on 10-09-2025

Penalty

Fine: $39,490
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to ensure that residents were able to participate in the development, review, and revision of their care plans as required. For two residents reviewed, care plan meetings were conducted only at the bedside and attended solely by Social Services staff, without participation from the full Interdisciplinary Team (IDT). Residents reported that these meetings were not helpful, as the Social Worker present was unable to answer questions about medical care or business concerns, and residents were simply given a copy of their care plan and a grievance form. Documentation reviewed confirmed that only Social Services staff and the resident signed the care plan meeting sign-in sheets, with rare attendance by other disciplines. No evidence was found that the required IDT members participated in these meetings. Additionally, residents expressed dissatisfaction with the process, stating that their concerns, such as those related to depression or facility policies, were not addressed during the meetings. The Director of Social Services confirmed that the IDT was invited but did not usually attend bedside meetings, and no further documentation was available to support full IDT involvement. The lack of comprehensive team participation and inadequate opportunity for residents to discuss their care needs led to the deficiency.

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