Failure to Provide Timely Incontinence Care and Personal Hygiene Assistance
Penalty
Summary
The deficiency involves the facility’s failure to provide timely incontinence care and personal hygiene assistance to residents who were dependent on staff for ADLs. One resident with diabetes mellitus type 2, chronic kidney disease, hypertension, and impaired cognition was documented as frequently incontinent of bowel and bladder and dependent on staff for toileting hygiene. Her care plan required staff assistance with ADLs on a daily basis. On the morning in question, a CNA started her shift at 7:00 A.M. but did not round with the off-going CNA and did not know when the resident last received incontinence care. At approximately 9:45 A.M., a PT entered the resident’s room for an evaluation and found the resident lying in bed with a urine-soaked gown, a large wet area on the bed, and a strong urine odor in the room. The PT assisted the resident to the bathroom to get her out of the wet gown. An LPN then entered, acknowledged the need to clean the resident, and later seated her in a chair while waiting for a CNA to change the bed linens. The resident reported that staff had not changed her incontinence product during the night and that she had remained in the wet gown until the PT arrived. A second resident, with multiple sclerosis, morbid obesity, paraplegia, and intact cognition, was dependent on staff for personal hygiene. During an interview and observation, this resident was noted to have facial hair stubble and stated she was aware of it and did not want to look like a man. A CNA confirmed the presence of facial hair and stated that residents receive shaving assistance on their shower days. A subsequent observation showed that the facial stubble was still present. The facility’s ADL policy stated that residents would be provided with care, treatment, and services as appropriate to carry out ADLs. The survey findings concluded that the facility failed to provide timely incontinence care and personal hygiene to residents requiring assistance, affecting two residents reviewed for ADLs.
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.