Failure to Provide Timely Incontinence Care for Dependent Resident
Penalty
Summary
A dependent resident with diagnoses including diabetes mellitus and psoriasiform dermatitis did not receive timely assistance with activities of daily living, specifically incontinence care. On the morning of the survey, the resident was observed lying in bed, expressing discomfort and stating she had not received care since the previous night. Upon entering the room, two CNAs found the resident with a saturated incontinence brief and a large amount of dried, dark, and reddish/pink drainage on the incontinence pad. The resident exhibited pain during care and requested to be left alone. The CNAs reported the resident's pain and request to an LPN, who confirmed that routine pain medication had been administered earlier that morning. Further review of the resident's care plan indicated that incontinence care was to be provided after each episode and during routine rounds. The resident's assessment showed she required maximum assistance for bathing, hygiene, and bed mobility, and was dependent for toileting, with frequent incontinence. Documentation revealed the last recorded incontinence check was the previous evening, with no applicable entry for the early morning. The wound nurse later clarified that the drainage from the resident's pressure ulcer would not have been sufficient to account for the amount observed on the pad. Facility policy required routine assistance with incontinence care, including changing briefs, providing peri-care, and changing clothing and bed linens.