Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0656
E

Failure to Develop and Implement Comprehensive Care Plans for Residents with Urinary Catheters

Cleburne, Texas Survey Completed on 05-16-2025

Penalty

No penalty information released
tooltip icon
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 develop and implement comprehensive, person-centered care plans for four residents who had indwelling urinary catheters. Despite documentation in the Minimum Data Set (MDS) assessments and physician orders indicating the presence of catheters, the residents' care plans did not reflect this critical aspect of their care. For example, one resident's initial care plan did not mention her indwelling catheter, even though her MDS assessment and direct observation confirmed its use. Another resident's care plan, closed upon discharge, also lacked any reference to her catheter, despite hospital records and physician orders indicating its necessity and ongoing use. Observations and interviews further revealed that staff were aware of the residents' catheters through direct care and visual cues, but this information was not formally documented in the care plans. One resident was observed moving through the hallway with her catheter bag visible and without a privacy cover, and she reported that this was a common occurrence. Another resident expressed confusion and distress about her catheter, frequently asking staff for its removal, yet her care plan did not address her catheter use or her psychosocial needs related to it. Staff interviews confirmed that catheter care was provided based on standard practice and observation rather than individualized, documented care plans. The lack of documentation and individualized care planning for catheter use was consistent across multiple residents, as evidenced by the absence of catheter-related goals, interventions, or measurable objectives in their care plans. This omission was noted despite facility policy requiring comprehensive, person-centered care plans that include measurable objectives, timeframes, and descriptions of services to meet each resident's needs. The failure to include catheter care in the care plans placed residents at risk of not having their needs for assistance met and increased their susceptibility to urinary tract infections (UTIs).

An unhandled error has occurred. Reload 🗙