Failure to Provide Toileting Hygiene Assistance Every Shift
Penalty
Summary
A deficiency occurred when a resident who was admitted with orthopedic aftercare needs, mobility issues, muscle weakness, and a stage 3 pressure ulcer in the sacral region did not receive assistance with toileting hygiene at least every shift and as needed. The resident's Minimum Data Set indicated intact cognitive skills and a requirement for substantial assistance with toileting hygiene and showering. Documentation reviewed by a registered nurse showed that toileting hygiene was not provided on all three shifts on multiple days, and on one specific day, the resident received assistance on only one shift instead of the required three. A family member reported that the resident was left in soiled disposable underwear without personal care until the afternoon on a particular day. Both the registered nurse and the Director of Nursing confirmed that facility policy and standard practice require toileting hygiene to be provided every shift and as needed. The facility's policy on supporting activities of daily living also states that residents unable to perform these tasks should receive necessary services to maintain good grooming and personal hygiene.