Failure to Involve Medical Provider in Interdisciplinary Care Planning
Penalty
Summary
The deficiency involves the facility’s failure to include the required members, specifically the resident’s medical provider, in the care planning process for one resident reviewed for unnecessary medications. Review of the resident’s record showed a care conference sign-in sheet with review dates of 5/27/25, 8/21/25, and 11/13/25, listing participants as an RN, LPN, RDN, and RNAC, but no medical provider. In an interview, an LPN confirmed that residents’ medical providers do not attend or participate in care plan meetings. In a separate interview, the DON stated that the DON, RNAC, dietary, and family attend the care plan/IDT meetings and confirmed that residents’ medical providers do not participate, either by attending or providing input. The DON also reviewed a 11/13/25 progress note titled “Plan of Care Note” and confirmed there was no documentation of participation or input from the resident’s medical provider. These findings were reviewed with the NHA, DON, and ADON during the exit conference. The deficiency is specifically related to the requirement that the comprehensive care plan be developed, reviewed, and revised by a team of health professionals, which includes the resident’s medical provider. The documentation and staff interviews demonstrated that, for this resident, the care planning conferences were conducted without involvement or documented input from the medical provider, despite multiple care conference dates and a formal plan of care note in the record.
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