Lack of Comprehensive Care Plan for Indwelling Urinary Catheter
Penalty
Summary
The facility failed to develop a comprehensive care plan addressing indwelling urinary catheter care and maintenance for one resident with a documented need for such care. Record review showed that the resident had medical diagnoses including urinary retention and congenital bladder neck obstruction, and a physician's order was in place to change the catheter every 30 days and perform catheter care every shift and as needed. The resident was assessed as cognitively intact and was known to have an indwelling urinary catheter. However, review of the resident's care plan revealed no documentation or plan for catheter care and maintenance. The MDS coordinator confirmed that a comprehensive care plan for urinary catheter care had not been developed for this resident, despite it being required.