Failure to Schedule Timely Care Conferences
Penalty
Summary
The facility failed to ensure that a resident's care conference was scheduled within the required timeframe, as mandated by facility policy and federal regulations. Record review showed that the resident, who had diagnoses including type 2 diabetes mellitus, multiple sclerosis, and neuromuscular dysfunction of the bladder, was admitted on 07/09/20 and had significant care needs, including dependence on staff for hygiene and an indwelling catheter. Despite these needs and a care plan revision on 06/26/25, there was no evidence in the medical record or facility care conference schedule that a care conference had been held or scheduled for the resident during the required period. The quarterly MDS assessment confirmed the resident had moderate cognitive impairment and required substantial assistance with daily activities. Interviews with the Social Services Designee (SSD) revealed a lack of understanding regarding the required frequency of care conferences, with the SSD stating she believed they were annual rather than quarterly and had only recently learned of the correct schedule. The SSD also indicated she was new to the role, had minimal training, and was attempting to catch up on overdue care conferences left by the previous SSD. The facility identified additional residents who were also overdue for care conferences. Facility policy requires the care plan to be developed and reviewed by an interdisciplinary team within seven days of the comprehensive assessment, with participation from the resident, family, or legal representative encouraged.