Failure to Develop Comprehensive Care Plan for Catheter Care
Penalty
Summary
The facility failed to develop a comprehensive, person-centered care plan addressing urinary catheter care for a resident with multiple urinary diagnoses, including chronic kidney disease, urinary tract infection, prostatic hyperplasia with lower urinary tract symptoms, urinary urgency, and urinary retention. The resident was admitted with these conditions and had a new Foley catheter placed at a recent urology appointment. Review of the resident's clinical record and care plan revealed that, despite the presence of the catheter and related diagnoses, no care plan for catheter care was documented. This deficiency was confirmed during an interview with the Assistant Director of Nursing, who acknowledged the absence of a comprehensive care plan for the urinary catheter.