Failure to Develop Comprehensive Care Plans for Urinary Incontinence
Penalty
Summary
The facility failed to develop and implement comprehensive care plans addressing urinary incontinence for two residents. For the first resident, who was admitted with diagnoses including hip fracture with surgical repair, weakness, difficulty walking, and a need for assistance with personal care, the admission MDS indicated that the resident was always incontinent of bowel and bladder. However, review of the comprehensive care plan showed that incontinence was not listed, and there were no goals or interventions documented to address this need. For the second resident, who was admitted with dementia, overactive bladder, and a need for assistance with personal care, the admission MDS and facility documentation indicated frequent bladder incontinence. Despite this, the comprehensive care plan did not include incontinence until the date of discharge. During an interview, the DNS confirmed that care plans for incontinence should have been in place as soon as the need was identified through assessments.