Failure to Provide Complete Perineal Care for Incontinent Resident
Penalty
Summary
A deficiency occurred when a male resident who was incontinent of bladder did not receive appropriate perineal care following an incontinent episode. During an observed care episode, an LVN and a CNA provided peri care to the resident, who was dependent on staff for toileting and personal hygiene due to severe cognitive impairment and impaired mobility. The LVN cleaned the resident's front pubic area but failed to clean the penis and scrotum, which is required per the facility's perineal care policy. The LVN then completed care of the anal area and buttocks, and the resident was assisted with dressing and transferred to a chair. The resident's care plan indicated a need for monitoring and providing incontinent care to prevent complications such as urinary tract infections and skin breakdown. The LVN later confirmed in an interview that she did not clean the scrotum and penis and acknowledged that this was not adequate incontinent care. The facility's policy specifically directs staff to clean the penis and scrotum for male residents during perineal care.