Inadequate Perineal Care Provided to Resident
Penalty
Summary
A deficiency was identified when a resident, who was cognitively intact and continent of bowel and bladder, did not receive adequate perineal care during an observed episode. The resident was on a bedpan and a CNA provided peri-care by wiping down each side of the resident's inner thigh area but failed to clean either side of the resident's labia. The CNA then removed the bedpan, rolled the resident to the left side, and provided care to the resident's bottom in an upward motion. The CNA later confirmed in an interview that he did not clean the labia area, attributing the omission to nervousness and stating that this was not his usual practice. Review of the facility's perineal care policy indicated that staff are required to separate the labia and wash the area downward from front to back, using a clean washcloth and water for each area, and to thoroughly rinse and dry the perineum. The observed care did not follow these procedures, as the labia area was not cleaned. This failure to provide care as outlined in the policy resulted in the resident not receiving adequate peri-care as required.