Deficiencies in Incontinence Care and Hospice Documentation
Penalty
Summary
The facility failed to provide timely incontinence care for a resident with moderate cognitive impairment and multiple medical conditions, including epilepsy and anxiety disorder. The resident, who required assistance with toileting, reported that her adult brief was not changed from 11:00 PM until the morning, resulting in a soaked brief. The resident expressed fear of mistreatment after witnessing a staff member, a CNA, verbally mistreat her roommate. The CNA denied the resident was wet and did not change the brief, while the LPN confirmed the brief was wet during a side-by-side observation. Additionally, the facility failed to obtain a physician order for hospice services for another resident diagnosed with Wernicke's encephalopathy. Although the resident had been receiving hospice care since early February, there was no physician order or documentation of the hospice admission date or diagnosis in the resident's records. The Director of Nurses acknowledged the absence of the required physician order for hospice care.