Failure to Provide Timely Incontinence Care to Residents
Penalty
Summary
The facility failed to provide timely care and assistance with activities of daily living for two residents who were unable to do so themselves. One resident was left on multiple occasions with stool and urine in their brief, as documented on GNA records for both day and night shifts, with specific dates noted where no changes were recorded. Another resident, who was alert, oriented, and able to communicate needs, reported activating the call bell for assistance with changing, but after a GNA responded and stated they would return, no further assistance was provided, resulting in the call light remaining on for several hours without the resident being changed. These findings were based on incident reports, record reviews, and interviews with staff and residents, confirming that the facility did not consistently meet the needs of residents requiring assistance with incontinence care.