Failure to Provide Timely Incontinence Care
Penalty
Summary
A deficiency was identified when a resident, who was cognitively intact and able to communicate her needs, did not receive timely assistance with incontinence care. The resident's clinical record indicated she was always incontinent of bowel and bladder and required substantial to maximal assistance with toileting hygiene. On two separate occasions, the resident reported having a bowel movement and requested assistance multiple times. Despite informing staff, there were significant delays before care was provided. On one occasion, the assigned nurse was aware of the resident's need and relayed the information to the nurse aide, who was occupied with another resident. The nurse ultimately provided the care after a delay. On another occasion, the resident's call light was engaged, and a nurse aide entered the room, turned off the call bell, and told the resident she would return after assisting another resident. The resident continued to wait for incontinence care for an extended period, with care not provided until nearly 35 minutes after the initial request.