Failure to Provide Individualized Continence and Incontinence Care
Penalty
Summary
The facility failed to provide appropriate treatment and services related to bowel and bladder continence for two residents. One resident, who had an indwelling catheter and was continent of bowel, was observed wearing an incontinence product despite no such need being documented in the care plan or requested by the resident. Staff interviews confirmed that the resident was able to communicate bowel needs and did not require or request the use of an incontinence product. The care plan and status sheet did not indicate the use of such products, and the resident was unaware of the reason for being provided with a brief. Another resident, who was frequently incontinent of urine but always continent of bowel, was observed being provided with two incontinence products at once, a practice not reflected in the care plan or requested by the resident. Staff indicated that double incontinence products were used due to heavy urination, but this was not documented or approved by the resident or their representative. The DON and RN responsible for care plans confirmed that such use should be documented and only done upon request or instruction, which was not the case for this resident.