Inadequate Incontinence Care Provided by CNA
Penalty
Summary
A deficiency was identified when a certified nursing assistant (CNA) failed to provide appropriate incontinence care to a resident who was always incontinent of bowel and bladder. The resident had severe cognitive impairment and required total assistance with activities of daily living, including toileting and personal hygiene. During observed incontinence care, the CNA washed and rinsed the vaginal area and creases, then applied a clean adult brief, but did not dry the vaginal area as required by facility policy. Additionally, the CNA did not cleanse or dry the resident's buttocks, rectal, or coccyx area during the care process. The CNA confirmed in an interview that these steps were omitted. Facility policy specifies that after washing and rinsing, the genital area should be dried, and the rectal area should be washed, rinsed, and dried using a clean area of the washcloth for each stroke. The failure to follow these procedures resulted in non-compliance with the facility's incontinence care policy.