Failure to Care Plan for Resident’s External Catheter Use
Penalty
Summary
Surveyors identified that the facility failed to develop and implement an accurate, comprehensive care plan addressing a resident’s use of an external catheter. The resident was admitted with diagnoses including adult failure to thrive, chronic heart failure, and a need for assistance with personal care. During a random observation of the resident’s room, surveyors noted a canister containing what appeared to be urine. In a subsequent interview, the resident confirmed that the canister was connected to an external catheter that she had been using since before admission to the facility. Review of the resident’s electronic health record showed there was no care plan or interventions in place related to the resident’s external catheter use. In an interview, the DON confirmed that the resident does use an external catheter and acknowledged that the facility failed to develop and implement a care plan that included this device and the needed interventions. The DON also stated that her expectation is that every resident who uses a catheter, whether external or not, should have a care plan that includes necessary interventions.
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