F0677

D

Failure to Provide Timely Incontinence and Hygiene Care for Dependent Resident

Florissant, Missouri Survey Completed on 02-05-2026

Penalty

No penalty information released

Summary

The facility failed to provide necessary assistance with activities of daily living and personal hygiene to a resident who was dependent on staff for care. The resident had diagnoses including muscle weakness and a need for assistance with personal care, was cognitively intact, frequently incontinent of urine, and always incontinent of bowel, and was care planned to require assistance with all ADLs to be properly dressed and groomed daily. Facility policy required perineal care at least once daily and as needed to maintain cleanliness, reduce odor, and prevent infection or skin breakdown. On the morning in question, surveyors observed the resident in bed with an odor of bowel movement in the room.

Later that morning, the resident activated the call light and a staff member entered the room, spoke with the resident, and then told the resident they were waiting for day staff to come in, turned off the call light, and left without providing incontinence care. The resident reported that he/she had requested to be cleaned and was told to wait, stating this happened frequently and that staff often said they were not his/her aide and would not help, and that his/her bottom burned when not cleaned. Subsequent observations showed additional staff entering and exiting the room, with one staff member stating they did not know who the aide would be and another indicating they were just answering the light and did not have the resident on their assignment. The resident’s call light was turned off without care being provided until later, when CNAs and an LPN entered the room and uncovered the resident, revealing a large amount of soft bowel movement on the buttocks and pushed into the wound dressing. The CNAs then provided personal hygiene and the LPN performed wound care, and the resident stated his/her bottom was getting sore.