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F0690
D

Incomplete Incontinence Care Provided

West Des Moines, Iowa Survey Completed on 08-26-2025

Penalty

No penalty information released
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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

Staff failed to provide complete incontinence care for a resident with a history of stroke, non-Alzheimer's dementia, and hemiplegia, who was dependent on staff for toilet hygiene and was always incontinent of urine and frequently incontinent of bowel. During observed care, staff removed a visibly wet brief and cleansed the area above the penis, the penis, and the scrotum, but did not cleanse the inner thighs. When the resident was turned, staff cleansed between the buttocks and inner buttocks but did not cleanse the outer buttocks and hips. Facility policy required cleansing of the buttocks and anus, and the Director of Nursing confirmed the expectation to cleanse all areas of the buttocks and hips during incontinence care.

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