Failure to Provide Restorative Toileting Program for Bladder Continence
Penalty
Summary
The facility failed to provide a restorative toileting program to maintain bladder functioning for one resident who was reviewed for bowel and bladder continence. The resident had diagnoses including major depressive disorder, bipolar disorder, asthma, and seizure, and was documented as frequently incontinent on the Minimum Data Set (MDS), though another MDS assessment indicated bladder continence. During interviews, the resident reported using pullups, getting up to use the restroom as needed, and not receiving any bladder toileting restorative program. Facility staff confirmed that there was no bladder toileting restorative program in place, and that certified nursing assistants were expected to encourage the resident to use the bathroom and offer help if needed. The facility's policy required comprehensive assessment and placement into an incontinence toileting program for residents demonstrating incontinence, but this was not implemented for the resident in question.