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- Plan Of CareCare planningOrder
Inspectors found that the home did not complete an interdisciplinary assessment of a resident's nutritional risk that included a registered dietitian, and the resident's plan of care did not reflect nutritional risks or specify how staff should respond if nutrition becomes a concern. Staff reported that the resident's documented dietary preference was rarely followed due to a home policy, which increased the resident's nutritional risk.
- Plan Of CareCare planningOrder
Inspectors found that a resident's plan of care for a special treatment was not based on an interdisciplinary assessment of the resident's needs. Staff did not follow the home's policies to assess the resident before providing the treatment on multiple occasions, and the plan of care did not include clear directions for how to provide the treatment. This lack of assessment and unclear directions resulted in negative health outcomes for the resident and created a potential safety risk.
- Plan Of CareCare planning
Inspectors found that staff did not share the results of an interdisciplinary assessment with the resident's care team in a timely manner, which meant the home's plan of care for the resident was not based on current, shared information.
- Involvement Of Resident, Etc.Care planning
Inspectors found that the home did not provide a resident's substitute decision-maker with an opportunity to participate in updating the resident's plan of care when the resident's condition changed.