Failure to Provide Timely Incontinent Care for Dependent Resident
Penalty
Summary
A deficiency occurred when a dependent resident did not receive timely assistance with activities of daily living, specifically incontinent care. The facility's policy requires that residents unable to perform ADLs independently receive necessary support, including toileting and elimination care. On the morning of the survey, the resident reported that a CNA did not check or change him during the night, and that staff would leave him wet if he was asleep. Observation confirmed that the resident's incontinence pad and brief were saturated with urine, with a visible light brown ring indicating prolonged exposure. The CNA assigned to the resident acknowledged that the resident had not been changed as required. Further interviews with the DON and ADON confirmed that residents should be checked and provided incontinent care at least every two hours, and agreed that the resident's condition indicated care had not been provided in a timely manner. The resident, who was admitted with paraplegia and assessed as cognitively intact but dependent with toileting, did not receive the necessary assistance as outlined in facility policy.