Failure to Provide Correct Size Incontinence Products
Penalty
Summary
The facility failed to ensure that a resident with bowel and bladder incontinence consistently received the correct size of incontinence briefs as specified in the care plan. The resident, who was cognitively intact and had a diagnosis of diabetes, reported that the facility often ran out of the required three X size briefs, resulting in the use of smaller, uncomfortable briefs. Staff interviews confirmed that the resident's specific size was regularly back ordered, leading to periods of two to three days approximately every two weeks when the correct size was unavailable. Central Supplies staff acknowledged the ongoing supply issue, and Social Services staff confirmed the resident's complaints and the back order status. The administrator stated that the facility was responsible for ensuring adequate supplies for care-planned needs.