Failure to Consistently Change and Clean Incontinent Resident
Penalty
No penalty information released
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
A deficiency was identified when a resident who is incontinent of bowel and bladder was not consistently changed and cleaned by nursing staff, as documented in the GNA Kardex. The records showed multiple instances across several days and shifts in June, July, and August where the resident was not changed, with specific dates listed for day, evening, and night shifts. During an interview, the DON and Administrator acknowledged that agency GNAs were unaware of where to document completed care. Additionally, during a facility tour, an area was noted to have a urine odor, and a resident complained about not being changed and experiencing long wait times for assistance. The Administrator did not respond to the complaint during the tour.