Failure to Hold Required Quarterly Care Plan Meetings With Residents and Representatives
Penalty
Summary
The deficiency involves the facility’s failure to hold required quarterly care plan meetings with residents and/or their representatives, despite policy stating that residents and their representatives are encouraged to participate in the development and implementation of care plans. For one resident with multiple sclerosis and dementia, an annual assessment documented a BIMS score of 14, indicating the resident was cognitively intact, and the record showed the last care plan meeting occurred in November 2024. During interview, this resident stated the facility had not been having care plan meetings. The Social Services Director (SSD) acknowledged that quarterly care plan meetings had not been completed as required, and the DON stated that care plan meetings should occur upon admission, every quarter, and as needed. For another cognitively intact resident with a BIMS score of 13 and diagnoses including stroke and hypertension, the health record showed the last care plan meeting was held in early May 2024. The resident’s family member reported they had not had any care plan meetings and stated that a care plan meeting scheduled for the prior month was canceled because no staff were available to attend at the scheduled time. The family member further stated they were informed by staff that they were trying to get back to having regular care plan meetings. The SSD again confirmed that quarterly care plan meetings were not being held as required, and the DON reiterated that care plan meetings should be conducted upon admission, quarterly, and as needed.
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