F0842

E

Missing Physician Orders for Foley Catheters in Medical Records

Las Cruces, New Mexico Survey Completed on 03-10-2026

Penalty

No penalty information released

Summary

The facility failed to maintain complete and accurate medical records for two residents with indwelling Foley catheters when physician orders for the catheters were not documented in their charts. Record review showed that one resident, admitted on an unspecified date, had a care plan dated 03/03/26 indicating the presence of a Foley catheter, but the physician’s orders contained no documented order for that catheter. Another resident, also admitted on an unspecified date, had a care plan dated 02/09/26 indicating the presence of a Foley catheter, yet the physician’s orders similarly lacked any documented order for the catheter. During an interview on 03/09/26 at 2:28 p.m., the Unit Manager confirmed that staff had not entered Foley catheter orders into the medical records for these two residents and acknowledged that such orders should have been documented.