Failure to Provide Timely ADL Assistance and Incontinence Care
Penalty
Summary
A deficiency occurred when a resident with Multiple Sclerosis, who had an ADL self-care deficit and required assistance with activities of daily living, did not receive timely care and assistance. The resident was heard calling out from his room that he had not received morning care, specifically stating that his urinal had not been emptied since the previous night. As a result, when the resident attempted to use the full urinal while lying down, urine spilled, causing the resident to become wet. The resident reported having to wait until the nurse aide completed lounge duty before being cleaned. Staff interviews confirmed that the nurse aide was unable to provide care sooner because the resident required two staff members for assistance, and the aide was assigned to supervise residents in the lounge area during the relevant time period. The urinal was not emptied until care was provided later in the morning. The unit manager confirmed that the resident did not receive timely incontinence care and that the resident's preferences were not accommodated, which was not in accordance with the facility's policy on providing appropriate support for activities of daily living.