Failure to Include Indwelling Catheter and Oxygen Therapy in Care Plans
Penalty
Summary
The facility failed to develop a comprehensive person-centered care plan for two residents, one with an indwelling urinary catheter and another receiving oxygen therapy. For the resident with the urinary catheter, the Admission Minimum Data Set (MDS) indicated the presence of the catheter, but the comprehensive care plan did not include any focus area or interventions related to it. Observations confirmed the presence of the catheter, and interviews with the Director of Nursing (DON) and the MDS Coordinator revealed that the care plan should have included this information, but it was not updated accordingly. Similarly, the resident receiving oxygen therapy was admitted with diagnoses including pneumonia and cough, and the Admission MDS documented the use of oxygen. However, the care plan lacked any focus area or interventions for oxygen therapy. Observations confirmed the resident was receiving oxygen via a nasal cannula, and interviews with LPNs and the DON verified that the care plan did not address oxygen administration, which should have been included.