Failure to Provide Timely Foley Catheter Care and Documentation
Penalty
Summary
The facility failed to provide timely and documented Foley catheter care for a resident who returned from the hospital with an indwelling catheter. Medical record review showed that after the resident's return, there was no evidence of catheter care being provided or documented for a period of ten days. Progress notes repeatedly indicated the catheter was intact, but did not mention any catheter care. The treatment administration records and physician's orders also lacked any orders or documentation for Foley catheter care during this period. Catheter care orders were not initiated until ten days after the resident's return, despite the resident's care plan identifying risks associated with the indwelling catheter, such as infection and skin decline, but not specifying interventions for catheter care. Interviews with the DON confirmed the absence of catheter care orders and documentation during this time. The resident reported that incontinence care was not provided in a timely manner. The deficiency was identified during a review of activities of daily living for three residents, with this resident being affected. The facility census at the time was 45.