Lack of Documented Competency for Catheter Care and Medication Administration
Penalty
Summary
The facility failed to ensure that nursing staff, including registered nurses and licensed practical nurses, possessed the appropriate competencies and skill sets necessary for the care and assessment of residents with indwelling urinary catheters and for medication administration. Documentation review revealed that, out of a 100 resident census, 15 residents had indwelling urinary catheters and multiple residents received medications. When surveyors requested evidence of staff competencies for indwelling catheter care and medication administration for three employees, the facility was unable to provide documentation of completed competency evaluations or demonstrations in these areas. Staff interviews confirmed the absence of such documentation, indicating that the required competencies had not been verified for the involved employees.