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F0656
D

Failure to Address Indwelling Urinary Catheter in Care Plan

Fairfax, Oklahoma Survey Completed on 07-21-2025

Penalty

No penalty information released
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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 develop a care plan addressing the use of an indwelling urinary catheter for one resident, despite having a policy requiring individualized care plans for each resident. Record review showed that the resident had diagnoses including unspecified retention of urine and dementia, and a physician's order documented the presence of a size 16 French indwelling urinary catheter. However, the resident's care plan did not include any information regarding the catheter. Interviews with the ADON and acting DON confirmed that catheter use should have been addressed in the care plan, and they were unable to explain why it was omitted.

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