Failure to Develop Care Plan for Indwelling Urinary Catheter
Penalty
Summary
The facility failed to develop and implement a comprehensive care plan to address the use of an indwelling urinary catheter for one resident. According to the facility's policy, a person-centered care plan should be created for each resident, including measurable objectives and timeframes to meet their identified needs. Medical record review showed that the resident had a physician's order for an indwelling urinary catheter with a drainage bag, and direct observation confirmed the presence of the catheter and drainage bag. Despite these findings, the resident's care plan did not include a problem or interventions related to the indwelling urinary catheter. This omission was verified during an interview and concurrent medical record review with an LVN, who confirmed that the care plan lacked documentation addressing the catheter use. The absence of a care plan for this specific medical device constituted a failure to provide individualized and consistent care as required by facility policy.