Failure to Develop Comprehensive Care Plan for Indwelling Urinary Catheter
Penalty
Summary
The facility failed to develop a comprehensive care plan for a resident with an indwelling urinary catheter. During observation, the resident was noted to have an indwelling urinary catheter and reported that staff had taken good care of it since placement. Record review showed the resident had diagnoses including obstructive uropathy and benign prostatic hyperplasia, and a physician’s order for an indwelling urinary catheter initiated several months earlier. A Quarterly MDS assessment documented that the resident was moderately cognitively impaired and had an indwelling urinary catheter. Despite these findings and the facility’s policy requiring a person-centered comprehensive care plan to be developed within seven days of completion of the required MDS and no later than 21 days after admission, the clinical record lacked a comprehensive care plan addressing the resident’s indwelling urinary catheter. The Director of Nursing provided the current policy titled Comprehensive Care Plans, which outlined the required timeframe for developing such plans, but the resident’s record still did not contain a comprehensive care plan specific to the urinary catheter, leading to the cited deficiency.
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