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F0657
D

Failure to Ensure Full IDT Participation in Care Plan Conference

Newark, Delaware Survey Completed on 12-23-2025

Penalty

No penalty information released
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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 all required interdisciplinary team (IDT) members contributed to the care plan conference for one resident reviewed for death. Review of the resident's clinical record showed that the Care Conference Summary was unsigned and incomplete, lacking documentation of input from a Physician, Nurse Practitioner, or Physician Assistant. Only social services, an LPN/Charge Nurse, and a therapy staff member attended the care plan conference, with the dietician providing input ahead of time due to absence. Interviews confirmed that the provider did not participate in the conference or provide input, and any concerns raised by the resident during the conference would only be shared with the provider afterward. The deficiency was confirmed during interviews and record review, with no evidence that all required IDT members contributed to the resident's care plan conference.

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