Failure to Provide Required Toileting Assistance
Penalty
Summary
A deficiency was identified when a resident with a left below-the-knee amputation, dementia, and anxiety, who required staff assistance for toileting due to an activities of daily living (ADL) self-care deficit, did not receive the necessary care. According to the resident's care plan and facility policy, staff were required to provide assistance with toileting and document any refusals. On the date in question, documentation by a nurse aide indicated the resident was incontinent and had been provided with toileting hygiene assistance. However, during an observation later that morning, the resident was found lying in bed with a soiled gown saturated in urine, soiled bed sheets, and a noticeable odor of urine present. The nurse aide assigned to the resident confirmed that the resident was saturated in urine, the sheets needed to be changed, and that toileting assistance had not been provided. The Nursing Home Administrator also confirmed the failure to provide toileting assistance for this resident.