Failure to Include Port-a-Cath Care and Training in Facility Assessment
Penalty
Summary
The facility failed to ensure its facility-wide assessment identified and addressed the care needs of residents with a port-a-cath and the associated staff training and competencies. The facility assessment, last updated on 9/8/2025, stated that education, training, and competencies had been completed specific to resident care needs, but it did not include training or competency requirements for care of residents with a port-a-cath. The Administrator, who is responsible for updating the facility assessment with input from the DON and other administrative staff, had updated the assessment on 1/1/2026 to reflect a change in therapy providers but did not include the care needs related to port-a-caths, despite knowing that all resident care needs should be reflected in the facility assessment. Resident #1 was admitted to the facility with a port-a-cath that had been placed on 12/18/2024 during a hospitalization for pneumonia. At the time of the survey, the facility had one resident with a port-a-cath. During interviews, the DON confirmed that nursing staff had not received training or competencies regarding port-a-cath care. The Administrator confirmed there was one resident with a port-a-cath and stated he was not aware that nursing staff had not been educated or had competencies checked for providing care to residents with a port-a-cath.
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