Failure to Provide Timely ADL Care and Rounding for Dependent Resident
Penalty
Summary
Facility staff failed to provide required Activities of Daily Living (ADL) care for a dependent resident who was unable to perform self-care. The resident, who had diagnoses including unspecified dementia and urinary tract infection, was always incontinent of bowel and bladder and required substantial or maximal assistance for toileting. Medical record review and interviews revealed that certified nursing assistants (CNAs) were expected to round every two hours to ensure residents were clean, provided with peri-care, and had their needs met. However, video evidence from the resident's electronic monitoring device showed that staff did not perform peri-care or rounds at the required intervals, resulting in the resident being left soiled for several hours. The deficiency was further substantiated by interviews with the resident's family member, who reported that the resident was not being rounded on every two hours and was left soiled for extended periods. The facility administrator confirmed that staff were instructed to round every two hours but could not provide video evidence to support that this was done for the resident in question. The failure to conduct timely rounds and provide necessary ADL care was observed for one resident out of three sampled, as documented by both family reports and video footage.