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F0557
D

Failure to Maintain Resident Dignity Due to Delayed Incontinence Care

Fremont, Michigan Survey Completed on 04-10-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

A male resident with severe cognitive impairment, who was fully dependent on staff for all daily needs, was observed sitting in a broda chair at the dining room table with visibly wet pants from urine. This condition persisted for over an hour, as multiple observations noted the resident remained in the same state, both in the dining room and later when moved to the nurses station. The resident's sweat pants continued to be visibly wet in the crotch area until staff eventually took him to his room to change his clothing and provide peri-care. These observations indicate that the facility failed to maintain the resident's dignity by not promptly addressing his incontinence and ensuring he was clean and dry.

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