Failure to Timely Schedule Requested Care Plan Meeting for Cognitively Intact Resident
Penalty
Summary
The deficiency involves the facility’s failure to honor a resident’s right to participate in the development and implementation of her person-centered plan of care by not timely scheduling a requested care plan meeting. The resident was admitted with diagnoses including hemiplegia and hypertension, and a recent Quarterly MDS showed a BIMS score of 14, indicating she was cognitively intact. An IDT care conference had been held on January 21, 2026, during which the team discussed her admission diagnoses, medications, psychosocial assessment, physical therapy, and discharge planning with her. On January 28, 2026, the resident requested another care plan meeting from the Social Service Director to obtain clarification regarding her discharge planning. By the time of the surveyor interview on February 10, 2026, the resident reported she had not received any update about her request. The Social Service Director confirmed that the care plan meeting had still not been scheduled, despite the request having been made approximately two weeks earlier. The ADON stated that an IDT member had mistakenly forgotten to schedule the requested meeting, even though it should have been scheduled. Facility policies on care planning and resident participation state that residents have the right to participate in care plan development, including the right to request meetings, and that care plan meetings are to be scheduled at the best time for the resident and family, and that residents are to be informed of and participate in their care planning and treatment.
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