Failure to Provide Timely Toileting Assistance
Penalty
Summary
Resident #29, who has diagnoses including unspecified dementia, Type 2 diabetes mellitus, and chronic kidney disease, was identified as requiring maximal assistance with activities of daily living, including toileting, due to moderate cognitive impairment and frequent urinary incontinence. Observations on 8/7/2025 documented that the resident requested to use the bathroom at 9:32 AM, but was not assisted by staff for an extended period, remaining unattended in the hallway and by the nursing station until at least 11:38 AM. Despite repeated requests and visible presence near staff, the resident did not receive timely toileting assistance. Interviews with nurse aides and an LPN confirmed that residents are expected to be assisted with toileting as soon as possible, and that waiting beyond two hours is considered excessive. One staff member reported this was the first time she was informed of the resident's need that day, while another visitor noted the resident had been left wet from urination the previous day. Facility policy requires prompt assistance with ambulating to the bathroom, and the Director of Nursing stated that 15 minutes is a reasonable timeframe for such assistance. The failure to provide timely care and assistance with toileting for Resident #29 constitutes a deficiency in meeting the resident's needs.