Failure to Conduct Timely Admission and Quarterly Care Conferences
Penalty
Summary
The deficiency involves the facility’s failure to conduct admission and quarterly care conferences in a timely manner and in accordance with its own policy and regulatory requirements. For one resident with cerebral infarction, hemiplegia/hemiparesis, and need for assistance with personal care, the record showed the last care conference occurred on 03/28/25, with no subsequent conferences documented; the Social Services Director confirmed no care conferences had been held since 03/08/25. Another resident with end stage renal disease, polyneuropathy, and an above-knee amputation had no documented care conferences at all since admission, and there was no record of discharge planning discussions; this resident reported being upset about not having a care conference and being uninformed about discharge planning, and the Social Services Director confirmed the absence of any care conferences or proof of discharge planning discussions. A resident with cognitive communication deficit, traumatic brain injury, and need for assistance with personal care had only one care conference documented on 10/22/25, with no care conference held within 72 hours of the admission date of 09/01/25, as confirmed by the Social Services Director. Another resident, cognitively intact and admitted with pleural effusion, end stage renal disease, chronic respiratory failure, heart failure, and malignant neoplasm, had a documented 72-hour admission conference on 12/02/25 with the responsible party, social services, and MDS nurse present, and an identified plan to discharge to the community. A further resident with a complete lesion of the thoracic spinal cord, paraplegia, urologic complications, and neuromuscular bladder dysfunction had care conferences on 09/24/24, 11/25/24, and 02/27/25, but no quarterly care conferences after 02/27/25, which the Social Services Director confirmed. Review of the facility’s “Care Planning Conference” policy dated 03/03/25 showed that interdisciplinary care conferences are to be held on admission, annually, quarterly, with significant change, at discharge as needed, and as needed, to identify problems, needs, goals, and discharge plans, which was not consistently followed for these residents.
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