Failure to Involve Resident Representative in Person-Centered Care Planning
Penalty
Summary
Surveyors identified a deficiency in the facility’s failure to ensure that a cognitively intact resident and the resident’s chosen representatives were able to participate in all aspects of person-centered care planning. The resident, admitted with schizophrenia, diabetes mellitus, and seizure disorder, had an admission MDS documenting that it was very important for family or friends to be involved in discussions about their care. The facility’s policy stated that residents and/or family would be invited to interdisciplinary care plan meetings for comprehensive assessments. However, the quarterly MDS documented the resident as cognitively intact, and there was no documented evidence that the resident’s representatives were invited to initial or quarterly care plan meetings. The Social Worker reported that if a resident refused to attend, the IDT met without the resident or representative, and that representatives were only invited to initial, significant change, and discharge care plan meetings, not quarterly meetings. The resident’s group home, where the resident had lived prior to admission, reported that the facility refused to discuss the resident’s care with them or other group home representatives. The group home Resident Manager stated that one listed contact was outdated, and that current contacts included a group home RN and the Executive Director, none of whom were invited to care plan meetings or involved in the resident’s care despite their expressed desire to be involved. The Executive Director confirmed wanting to attend care plan meetings but not receiving invitations. The ADON and a unit RN Manager both stated they had not communicated with the resident’s representatives and indicated that the Social Worker was responsible for updating contacts and inviting representatives. The Director of Social Services confirmed that representatives were not invited to quarterly care plan meetings and was unaware that the resident’s representatives wanted to be involved, and the DON stated they were not aware that the representatives felt excluded and had not personally communicated with them. These actions and inactions resulted in the resident’s representatives not being afforded the opportunity to participate in the resident’s care planning process, in violation of 10 NYCRR 415.11(c)(2)(i-iii).
We Help Long-Term Care Teams Stay Survey-Ready
We process and analyze inspection reports and plan of correction using AI to extract insights and trends so providers can improve care quality and stay ahead of compliance risks.