Failure to Provide Timely Incontinent Care Resulting in Resident Left in Soiled Linens
Penalty
Summary
A resident was observed lying in bed with a diaper and bed linen soaked with urine, and was seen scratching her buttocks area while wearing a hand mitten. The Certified Nurse Assistant (CNA) present stated that he had not provided the resident with morning care or a diaper change. The resident's Minimum Data Set (MDS) indicated she was dependent on staff for toileting and personal hygiene and was incontinent of both bowel and bladder. The care plan for the resident specified that staff were to assist with perineal care as needed to maintain dignity, comfort, and prevent complications related to incontinence. During the interview, the CNA admitted to checking on the resident at the start of his shift but did not check her diaper. He acknowledged that failure to provide timely incontinent care could result in skin redness, irritation, and wounds. The facility's policy on perineal care emphasized the importance of cleanliness and comfort to prevent infections and skin irritation. The failure to provide timely incontinent care as outlined in the care plan and facility policy led to the resident remaining in soiled linens and a wet diaper.