Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0656
D

Failure to Develop Comprehensive Care Plan for Colostomy Self-Management

Brenham, Texas Survey Completed on 04-25-2025

Penalty

No penalty information released
tooltip icon
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 develop a comprehensive care plan that addressed a resident's self-management of his colostomy bag. The resident, who had diagnoses including osteomyelitis, functional quadriplegia, and dependence on renal dialysis, was cognitively intact and had an ostomy. Despite these conditions, the care plan did not include measurable objectives or interventions related to the resident's behavior of emptying his own colostomy bag, nor did it address the associated infection control concerns. Observations and interviews revealed that the resident regularly emptied his colostomy bag himself, using a white trash bag and discarding it on the floor, which sometimes resulted in fecal matter splattering on the floor. Staff, including LVNs, CNAs, the ADON, and the DON, were aware of this behavior and acknowledged it as an infection control issue. The behavior was discussed in morning meetings, and some interventions, such as providing a tall trash can, were implemented informally, but these actions were not documented in the resident's care plan. Record reviews confirmed that the care plan focused on other aspects of the resident's care, such as gastrointestinal status and ADL deficits, but did not address the specific issue of self-emptying the colostomy bag. Staff interviews indicated that the MDS coordinator was responsible for care plans but may not have been aware of the resident's behavior, and the lack of documentation in the care plan led to a gap in individualized care planning for this resident.

An unhandled error has occurred. Reload 🗙