F0558

D

Failure to Provide Correctly Sized Incontinence Briefs for Residents

Bridgeport, Illinois Survey Completed on 01-07-2026

Penalty

No penalty information released

Summary

Failure to reasonably accommodate residents’ needs and preferences occurred when the facility did not consistently provide appropriately sized incontinence briefs for two cognitively intact residents with bowel and bladder incontinence. One resident with morbid obesity, unsteadiness on feet, heart disease, and osteoarthritis, who was care planned as occasionally incontinent, reported that the facility recently did not have the correct size briefs and that the briefs available were too tight, requiring him to rip the sides so they would fit. Another resident, dependent on staff for toileting and always incontinent of bowel and bladder, reported that the facility never had the right size briefs, that staff used whatever size was available, and that she would wet through them.

Staff interviews and supply observations further demonstrated the deficiency. The CNA Supervisor stated that the residents in question used extra-large briefs and asserted that the facility had enough supplies, including in an outside shed, but later acknowledged there were no briefs in the shed at the time of the survey and that she had to go back to rooms to locate more briefs. A supply closet check revealed multiple packages of medium and large briefs but only two individual extra-large briefs and no packages of small, extra-large, or double extra-large briefs, despite residents requiring extra-large sizes. Several CNAs reported that the correct sizes were not always available, that residents sometimes had to use incorrect sizes, and that supplies ran low before new orders arrived. Nursing leadership and the administrator reported they had not received concerns about incorrect brief sizes, despite resident and CNA reports to the contrary.