Failure to Assess and Implement Toileting Programs for Residents with Urinary Incontinence
Penalty
Summary
The facility failed to provide appropriate care for residents with urinary incontinence, specifically by not implementing assessments or interventions aimed at maintaining, restoring, or improving bladder function for two residents. For one resident, who was cognitively intact and dependent on staff for toileting, there was no documentation of a voiding study or toileting trial to determine voiding patterns or the type of incontinence. Despite the resident expressing a desire to participate in a toileting program and being able to communicate toileting needs, staff confirmed that no such program or assessment had been initiated, and the resident continued to use briefs. Similarly, another resident, who was alert, oriented, and dependent on staff for transfers and turning in bed, was frequently incontinent of urine and at risk for pressure ulcers. This resident also expressed willingness to use a bedpan instead of a brief and was able to communicate toileting needs to staff. However, there was no documentation of a voiding study or toileting trial for this resident either. Staff interviews confirmed the resident's abilities and needs, but no interventions or assessments were documented or implemented to address urinary incontinence as required by facility policy.