Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0842
E

Failure to Maintain Accurate Medical Records for Indwelling Urinary Catheter

Spring Branch, Texas Survey Completed on 12-09-2025

Penalty

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to maintain complete and accurate medical records for a resident who had an indwelling urinary catheter. The resident, who had multiple diagnoses including high blood pressure, diabetes, Parkinson's disease, hypothyroidism, and systemic lupus erythematosus, was admitted to hospice care and had a Foley catheter placed for urinary retention. Although there was a handwritten order from the initial hospice physician for the catheter, this order was not entered into the electronic clinical record, and no new order was documented when the resident transitioned to a second hospice provider. Additionally, the order to discontinue the first hospice provider was not documented. Review of the resident's care plans and clinical records revealed inconsistencies and omissions. The quarterly MDS assessment did not indicate the presence of an indwelling urinary catheter, despite care plans and nursing notes referencing its use. The electronic physician order summary lacked any order for the catheter, and there was no documentation of catheter care being provided after the resident switched hospice providers. Nursing notes confirmed the presence and replacement of the catheter, but these actions were not consistently documented in the resident's official medical record. Interviews with nursing staff and the DON confirmed that there was no order for the indwelling urinary catheter in the electronic record and that documentation of catheter care was missing. The DON and Administrator acknowledged that the absence of proper orders and documentation could result in missed care. The facility's policy requires maintenance of complete medical records in accordance with professional standards, but this was not followed in the resident's case.

An unhandled error has occurred. Reload 🗙