Inaccurate MDS Documentation of Foley Catheter Status
Penalty
Summary
The deficiency involves the facility’s failure to ensure an accurate MDS assessment for one resident regarding the presence of a Foley catheter. Record review of the resident’s face sheet showed an admission on an unspecified date, and the admission MDS, dated on an unspecified date, documented that the resident had a Foley catheter. However, during an observation on 03/09/26 at 2:15 p.m., the resident was observed without a Foley catheter in place. In a subsequent interview at 2:28 p.m., the Unit Manager confirmed that the resident did not have a Foley catheter and acknowledged that the MDS incorrectly indicated the presence of a Foley catheter. This inaccurate documentation on the MDS constituted a failure by staff to correctly assess and record the resident’s catheter status, resulting in an MDS that did not reflect the resident’s actual condition.
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