Failure to Provide Proper Perineal Care for Dependent Residents
Penalty
Summary
Surveyors observed that staff failed to provide perineal care in accordance with professional standards for two residents. For one resident, a CNA placed care items on a nightstand without a barrier, used soiled gloves to repeatedly pull wipes from the pack, and did not fully clean the resident, as evidenced by the presence of fecal smears during a recheck. Both CNAs involved acknowledged that inadequate peri-care was provided and that smears of feces remained after the initial cleaning. The resident was dependent on staff for toileting and hygiene and had diagnoses including acute kidney failure and vascular dementia. For another resident, a CNA performed peri-care but failed to wipe down both labial sides, only wiping the center of the labia once. This was confirmed by both the assisting CNA and the CNA who performed the care, who stated that the proper procedure was not followed. The resident was also dependent on staff for toileting and hygiene and had a history of urinary tract infection and Alzheimer's disease. The DON confirmed that the expected procedure was not followed in both cases.