Failure to Address Resident Concerns Regarding Incontinence Brief Quality
Summary
Two residents with significant cognitive and physical impairments, including Alzheimer's disease, chronic pain, hemiplegia, and psychotic disorder, reported issues with the quality of incontinence briefs provided by the facility. One resident expressed distress about the need for staff to use two briefs at a time to prevent bed soiling, stating that all staff were aware of the problem but no action was being taken. The same resident also voiced concerns about the declining quality of food and the lack of staff response to complaints, indicating that concerns were not being documented or addressed. Another resident's responsible party reported that the new, lower-quality briefs frequently leaked, resulting in increased laundry, more frequent changes, and urine soaking through to clothing and wheelchair cushions. Observations confirmed a strong urine odor on the resident's wheelchair. Both staff and responsible parties indicated that management was aware of the concerns but had not taken effective action to resolve them. Interviews with the DON and NHA revealed awareness of the issues, but no solutions or interventions had been implemented at the time of the survey.
Penalty
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