F0553

E

Failure to Involve Cognitively Intact Resident in IDT Care Conferences

Long Beach, California Survey Completed on 02-09-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to involve a cognitively intact resident in Interdisciplinary Team (IDT) care conferences and the development and implementation of her person-centered plan of care. The resident, originally admitted in 2022 and readmitted in early 2023, had diagnoses including anxiety disorder, major depressive disorder, and bipolar disorder. Her MDS assessment indicated she understood others, was understood by others, had intact daily decision-making abilities, and that it was very important to her to participate in discussions about her care. A History and Physical documented that she was alert, oriented to person, place, time, and situation, and had the capacity to understand and make medical decisions.

During an interview, the resident reported she was not always made aware when her IDT care conferences were being held and became tearful, stating she wanted to participate in these meetings about her care. Review of IDT conference records with the Infection Prevention Nurse showed that one scheduled IDT meeting was not rescheduled after the resident requested a postponement due to not feeling well, and the next meeting occurred three months later. Documentation for that later meeting contained no evidence of the resident’s participation. The Infection Prevention Nurse acknowledged that if residents request rescheduling, the meeting should be rescheduled and that residents need to be part of their IDT meetings. The DON stated residents or their representatives should always be part of IDT care conferences, and facility policies and resident rights documents confirmed that residents have the right to participate in the development and revision of their care plans and to be informed in advance of changes to the care plan.