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F0641
D

Inaccurate Assessment of Indwelling Catheter Status

Wilburton, Oklahoma Survey Completed on 05-08-2025

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 ensure the accuracy of resident assessments regarding the presence of indwelling catheters. One resident, admitted with diagnoses including chronic obstructive pulmonary disease and convulsions, was observed without an indwelling catheter and stated they had never had one. The quarterly assessment, however, incorrectly documented that the resident had an indwelling catheter during the review period. Review of the medical record confirmed there was no physician order for a catheter, and both the resident and an LPN confirmed the absence of a catheter. The minimum data set coordinator acknowledged that the assessment was coded in error.

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