Inaccurate Documentation of Catheter Care
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
The facility failed to ensure the accuracy of medical records for one resident who had a suprapubic catheter. Physician orders required catheter care to be performed every shift, and documentation indicated that two CNAs had recorded providing this care on multiple dates. However, both CNAs later stated in interviews that they did not perform the catheter care as documented, with one CNA admitting to assuming the nurse had completed the care and documenting it as done. The resident involved was cognitively intact and had an indwelling urinary catheter at the time of the deficiency. The Director of Nursing confirmed that staff should not document care that was not performed.