Failure to Include Bowel and Bladder Incontinence in Comprehensive Care Plan
Penalty
Summary
The facility failed to implement a comprehensive care plan addressing bowel and bladder incontinence for one resident. Review of the resident's Admission MDS indicated that the resident was always incontinent of bowel and bladder, and the Care Area Assessment Summary showed that bladder incontinence had triggered and should have been included in the care plan. The resident's Baseline Care Plan documented frequent incontinence, but the comprehensive care plan did not reflect this condition. During an interview, a staff member acknowledged that bowel and bladder incontinence should be included in the care plan and noted that the resident was relatively new, suggesting the care plan may not have been completed. Facility policy requires the MDS Coordinator and Interdisciplinary Team to review and revise care plans based on resident condition, but this process was not followed for the resident in question.