Failure to Implement Scheduled Toileting Program for Cognitively Intact Resident
Penalty
Summary
The facility failed to provide a scheduled toileting plan or bladder training for one resident, despite assessment findings indicating the resident was a good candidate for such interventions. The resident was cognitively intact, aware of the need to toilet, and able to participate in toileting activities with one-person assistance. Documentation showed that the resident required substantial assistance with toileting hygiene and lower body dressing, but no trial of a toileting program had been attempted. The resident expressed willingness to use a bedpan or bedside commode to avoid urinary infections, but reported that staff only provided a diaper and did not offer these alternatives. Interviews with staff confirmed that the resident was not offered a bedpan or bedside commode, and the facility's own assessment tool indicated the resident would benefit from scheduled toileting or bladder retraining. The facility's policy required staff to provide appropriate services and interventions, such as scheduled toileting, based on assessment results. However, no such program was implemented for the resident, contrary to both the assessment findings and facility policy.