Failure to Conduct and Document Ongoing Care Plan Meetings
Penalty
Summary
The facility failed to ensure required care plan meetings were conducted and documented for a resident, as mandated to be developed within 7 days of the comprehensive assessment and prepared, reviewed, and revised by an interdisciplinary team. Record review for Resident B, who had diagnoses including Alzheimer's disease, psychotic disorder, hypertension, depression, anemia, and COPD, showed that a Quarterly MDS dated 11/4/25 identified the resident as cognitively impaired for daily decision making. A Social Services note dated 9/23/25 documented that the Social Service Director contacted the resident's daughter to schedule a care plan meeting, and the daughter agreed to have the meeting when she arrived at the facility that day, with the SSD indicating availability to conduct it. The record showed the last care plan meeting occurred on 9/23/25, with no documentation of any subsequent care plan meetings after that date. During interview, the Nurse Consultant reported contacting the previous social worker and confirmed there was no documentation of a scheduled or rescheduled care plan meeting, and stated that any cancelled meeting should have been documented as rescheduled. This citation relates to Intake 2739564 and regulatory reference 3.1-35.
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