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Nursing Home Complaint Regarding Care Plans

Care plans are often referred to as the "road map" for the care that a resident receives at the facility. It is developed after a comprehensive assessment which is done after admission, quarterly, and upon a significant change in condition.

Care plans are more than just a good idea, they are required by federal regulations:

  (k) Comprehensive care plans. 
(1) The facility must develop a comprehensive care plan for each resident
that includes measurable objectives and timetables to meet a resident's 
medical, nursing, and mental and psychosocial needs that are identified 
in the comprehensive assessment. The care plan must describe the 
  (i) The services that are to be furnished to attain or maintain the 
resident's highest practicable physical, mental, and psychosocial 
well-being as required under § 483.25; and 
  (ii) Any services that would otherwise be required under § 483.25 but 
are not provided due to the resident's exercise of rights under § 483.10,
including the right to refuse treatment under § 483.10(b)(4). 
(2) A comprehensive care plan must be- 
  (i) Developed within 7 days after completion of the comprehensive 
  (ii)  Prepared by an interdisciplinary team, that includes the attending
physician, a registered nurse with responsibility for the resident, and 
other appropriate staff in disciplines as determined by the resident's 
needs, and, to the extent practicable, the participation of the resident,
the resident's family or the resident's legal representative; and 
  (iii) Periodically reviewed and revised by a team of qualified persons 
after each assessment. 
(3) The services provided or arranged by the facility must- 
  (i) Meet professional standards of quality; and 
  (ii) Be provided by qualified persons in accordance with each resident's
written plan of care.

42 CFR Part 483.20(k)

The failure to have a care plan in place to address each issue identified during the comprehensive assessment is a violation of federal regulations. Families are entitled to know what the care plan is for their loved ones and what is supposed to be done to address areas of concern. If a nursing home does not have a care plan in place or worse, fails to carry out the care plan, that is a legitimate basis for a nursing home complaint with the Illinois Department of Public Health.

Submit Your Claim Now
The submission process was easy to use and very straightforward. After submitting my complaint, I received confirmation from the Illinois Dept. of Public Health that they had received my complaint and would be investigating the nursing home.

-S.B., Filed nursing home complaint about Provena McAuley Manor in Aurora Illinois

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