Failure to Develop Care Plan for Foley Catheter
Penalty
Summary
The facility failed to develop and implement a care plan for a resident with a physician order for a Foley catheter. Review of the resident's Minimum Data Set (MDS) assessment and physician orders confirmed the presence of a Foley catheter and the need for oxygen therapy. However, the resident's care plan did not include any plan of care for the Foley catheter. Staff interviews with the MDS Coordinator and DON confirmed that a care plan for the Foley catheter was not created until the fourth day of the survey, despite the facility's policy requiring comprehensive care plans to address all resident needs. The MDS Coordinator and DON acknowledged that any nurse could have created the care plan and emphasized the importance of care plans in guiding resident care.