Failure to Provide Appropriate Toileting Assistance and Equipment
Penalty
Summary
Staff applied an incontinence brief to a resident who was admitted with diagnoses including pleural effusion and pneumonia. The resident's admission nursing assessment inaccurately documented him as incontinent of bladder, despite the resident being able to request and use a urinal independently. The resident reported that the use of an incontinence brief prevented him from voiding with dignity and made it difficult for him to use a urinal, which he preferred. Staff interviews revealed that the resident was continent and that the initial assessment was not accurate. Observations confirmed that no urinal was present at the resident's bedside, and staff admitted to assuming incontinence without verifying the resident's actual needs or preferences. The facility's policy required support for activities of daily living to prevent unnecessary decline, but staff failed to provide appropriate toileting assistance and equipment, resulting in the resident being unnecessarily placed in an incontinence brief.