Failure to Provide Proper Perineal Care to Dependent Residents
Penalty
Summary
The facility failed to provide appropriate perineal care to two residents who were dependent on staff for toileting hygiene, as observed and confirmed through staff interviews and record reviews. For one female resident with severe cognitive impairment, a CNA only wiped the groin area on each side of the vagina and did not clean the vaginal area as required by facility policy. The CNA later acknowledged not providing proper perineal care and recognized the importance of cleaning both sides and the center of the vaginal area. For a male resident with dementia and severe cognitive impairment, a CNA provided perineal care by wiping the entire penis several times with the same wipe, only folding it once, and did not clean from the tip to the base using a clean portion of the wipe for each stroke as required. The CNA admitted to not following correct perineal care procedures. Both the Infection Preventionist and the DON confirmed that the care provided did not meet facility standards and described the correct procedures that should have been followed.