Lack of Orders and Care Planning for Resident Using External Catheter
Penalty
Summary
Surveyors identified a deficiency related to the facility’s failure to provide appropriate care and clinical oversight for a resident using an external urinary catheter. The resident was admitted with diagnoses including adult failure to thrive, chronic heart failure, and a need for assistance with personal care. During an observation of the resident’s room, surveyors noted a canister containing what appeared to be urine. In an interview, the resident confirmed that the canister was connected to an external catheter that she had been using since before admission. Record review showed there was no physician order for the catheter, including no documentation of the need for the catheter, the type of catheter to be used, or instructions for its care. The resident’s electronic health record contained no care plan or interventions addressing the use of an external catheter. Additionally, the MDS assessment indicated that the resident did not use an external catheter, which conflicted with the resident’s report and the DON’s confirmation that the resident did in fact use one and should have an order and care plan in place.
We Help Long-Term Care Teams Stay Survey-Ready
We process and analyze inspection reports and plan of correction using AI to extract insights and trends so providers can improve care quality and stay ahead of compliance risks.