Failure to Obtain Ordered Urinalysis for Resident with UTI Risk
Penalty
No penalty information released
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
The facility failed to obtain a urinalysis as ordered for a resident with a history of urinary tract infection, urinary calculi, painful urination, malignant neoplasm of the prostate, and kidney failure. An encounter note documented that a transrectal ultrasound of the prostate was performed and included an order to obtain a urinalysis to detect signs of urinary infection and blood. Despite this order, there was no documentation in the clinical record to show that the urinalysis was obtained. The resident's care plan indicated the presence of a catheter and an increased risk for urinary tract infections. When asked, facility nursing leadership was unable to locate any record of the urinalysis being completed.