Failure to Revise Care Plan for Catheter Care
Penalty
Summary
The facility failed to revise the comprehensive care plan for a resident with an indwelling catheter to include specific interventions for routine catheter care. Observation revealed the resident had catheter tubing present, and record review showed that while CNAs documented catheter care tasks every shift, the care plan itself did not specify how often catheter care should be performed or which staff were responsible for providing the care. Interviews with staff confirmed that catheter care was being performed and documented, but the care plan was not updated to reflect these interventions or assign responsibility. The resident involved had been admitted with diagnoses including acute kidney failure and was noted to have moderately impaired cognition. The facility's policy required that care plans be reviewed and revised periodically to reflect the services provided, but this was not done for the resident's catheter care. The deficiency was identified through observation, record review, and staff interviews, which confirmed the omission in the care plan documentation.