Failure to Provide Timely and Adequate Incontinent Care and Bathing
Penalty
Summary
The facility failed to provide timely and adequate incontinent care and bathing for two residents who required assistance with activities of daily living (ADLs). In one instance, a resident with dementia, osteomyelitis, and a PICC line was observed lying in bed with saturated incontinence pads, wet linens, and a wet gown. The resident had not been checked for urinary incontinence since the CNA's shift began at 6 a.m. The resident's peri and buttocks areas were cleansed, but other urine-soaked areas such as the abdomen, back, arms, and legs were not washed before the resident was dressed in clean clothing and linens. The care plan indicated the resident required maximum assistance for bathing and toileting and should be checked for incontinence every 2-3 hours. Another resident with dementia was found in a room with a strong urine odor, lying in bed with damp covers, wet clothing, and a saturated incontinence brief. The incontinence pad under the resident had a large ring of drying urine. The CNA had not checked the resident for incontinence since starting work at 6 a.m. and indicated it had been a while since the resident was last checked. The resident received incontinence care with wipes and was changed into clean clothing, but the care plan required moderate assistance with toileting and bathing and checks for incontinence every 2-3 hours. Facility policy stated that incontinent residents should be changed every two hours and more frequently if needed.