Insufficient Notice to Responsible Party for Care Plan Conference
Penalty
Summary
The deficiency involves the facility’s failure to provide sufficient notice to a resident’s responsible party (RP) to allow participation in the development and implementation of a person-centered care plan. The resident’s son, who is the RP and a full-time working medical doctor, reported that he received a voicemail from the facility on the morning of 11/13/25 informing him that a care planning conference was scheduled for later that same day. Due to the short notice, he was unable to attend. He also stated he had ongoing difficulty getting his calls returned by facility staff and had been unsuccessful in the past in getting care conferences scheduled at times he could attend, and that he was not kept informed of the resident’s care and treatment. Interviews and record reviews showed that the Social Service Assistant (SSA) called the RP on the morning of 11/13/25, left a message, and documented in a Social Service Progress Note that there was no answer and a message was left requesting a return call. The SSA stated that returned calls were usually not documented in the chart. A Progress Note from later that same day documented that an Interdisciplinary Care Conference was held, listed the staff attendees, and indicated that the son/RP was invited by phone but did not attend, and that a copy of the care plan was refused by the resident/resident representative. The Social Services Director acknowledged that calling the RP on the same day as the care conference was short notice. The facility’s care planning policy stated that residents and their representatives are encouraged to participate in care plan development and that every effort will be made to schedule care plan meetings at the best time for the resident and family.
