Failure to Develop Comprehensive Care Plan for Urinary Incontinence
Penalty
Summary
The facility failed to develop and implement a comprehensive care plan addressing urinary incontinence care for one resident. Record review showed that this resident, who had diagnoses including diabetes mellitus, had an ADL care plan dated 2/15/26 that documented a deficit in activities of daily living, but the toileting hygiene section did not include the resident’s usual performance and lacked any interventions specifying the level of care required. A separate care plan dated 2/15/26 identified a potential impairment of skin integrity related to incontinence, yet it did not include interventions describing what incontinence care should be provided. An admission MDS assessment dated 2/18/26 documented that the resident was dependent for toileting and was frequently incontinent of bowel and bladder. During interviews, the MDS Coordinator acknowledged that the care plans needed to be tightened up and confirmed there was no care plan in place for incontinence care. This deficiency was cited under 410 IAC 16.2-3.1-35(a) and related to Intake 2707235.
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.