Failure to Provide Timely Assistance with Toileting Hygiene
Penalty
Summary
A deficiency occurred when a resident with diagnoses including weakness, Parkinson's disease, and type 2 diabetes mellitus did not receive timely assistance with toileting hygiene. The resident's Minimum Data Set indicated intact cognitive skills and a need for moderate assistance with toileting hygiene. On the morning of the incident, the resident reported being wet with urine since 5 a.m. and stated that staff were aware of her need for assistance. Observation confirmed the resident was still in bed in her nightgown at 9:45 a.m. and had not yet been assisted. A Certified Nurse Assistant (CNA) acknowledged awareness of the resident's need for changing but stated she was busy with another resident after arriving at 6:30 a.m. The CNA was later observed assisting the resident with toileting and personal hygiene at 10:00 a.m. The Director of Nursing confirmed that all residents should be assisted with toileting hygiene and that failure to do so could have negative outcomes. Facility policies reviewed indicated a requirement to provide services that meet residents' individual needs and promote hygiene, comfort, self-esteem, and dignity.