Failure to Include Bowel Incontinence Interventions in Care Plan
Penalty
Summary
The facility failed to develop and implement care plan interventions to address a resident’s bowel incontinence. Clinical record review showed that the resident was admitted with diagnoses including a left lower leg fracture, hypertension, and muscle weakness. A Minimum Data Set (MDS) assessment and Care Area Assessment (CAA) summary dated January 15, 2026, documented that the resident had bowel incontinence and indicated that this issue was to be addressed in the care plan. However, review of the resident’s comprehensive care plan revealed no evidence that any interventions related to bowel incontinence were included. In an interview, the Director of Nursing confirmed that there was no documented evidence of bowel incontinence interventions in the resident’s care plan, resulting in noncompliance with 28 Pa. Code 211.12(d)(1)(5) regarding nursing services.
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