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F0656
D

Failure to Develop and Implement Urinary Catheter Care Plan

Matteson, Illinois Survey Completed on 05-09-2025

Penalty

No penalty information released
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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 and implement a care plan for a resident who was admitted with a diagnosis of urinary retention and required an indwelling urinary catheter. During the survey, the resident was observed with a urinary catheter in place on multiple occasions, but a review of the resident's care plan revealed no documentation or interventions related to catheter care. The Assistant Director of Nursing confirmed that there was no care plan addressing the urinary catheter and was unable to explain the omission. Facility policy requires a comprehensive, person-centered care plan with measurable objectives and timeframes, including interventions for areas of potential risk, but this was not followed for the resident in question.

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