Failure to Provide Timely Incontinence Care
Penalty
Summary
A deficiency occurred when a resident who was documented as fully dependent on staff for toileting and identified as always incontinent was not provided incontinence care for over four hours. The resident's care plan required staff to check for incontinence as needed, and facility policy stated that incontinence care should be provided to keep residents dry, comfortable, and odor-free. On the day of the incident, the resident was observed sitting in a wheelchair, urinating on the floor with wet clothing while attempting to eat lunch. Staff interviews confirmed that the last incontinence care provided to the resident was at 8:00 am, and that residents are supposed to be changed every two hours. The resident was found to be soiled and saturated with urine, indicating a failure to provide timely incontinence care as required by the care plan and facility policy.