Failure to Provide Adequate Incontinence and Hygiene Care
Penalty
Summary
A deficiency occurred when a resident who was dependent on staff for all activities of daily living, including perineal hygiene and incontinence care, was found in bed with brown residue on the right inner thigh and a brown smear on the outside and top of the incontinent brief. The resident had a history of hemiplegia, hemiparesis, dementia, and Parkinson's disease, and was documented as always incontinent and requiring total assistance for toileting and hygiene. Staff interviews confirmed that the presence of stool on the resident's skin and brief indicated that the resident had not been fully cleaned or checked as required. Facility policy required that residents who are incontinent be kept clean, dry, and comfortable, and that perineal care be provided to maintain cleanliness and prevent skin breakdown. Both the CNA and LVN present at the time of observation acknowledged that the resident should have been cleaned properly, and the DON confirmed that facility protocol mandates residents be left clean, presentable, and odor free. The failure to provide adequate assistance with hygiene and incontinence care was directly observed and confirmed through staff interviews and record review.