complaint·May 16, 2024

Staff did not meet resident's incontinence needs - UNSUBSTANTIATED It was reported that Resident 1 (R1) uses a condom catheter. On multiple occasions R1’s condom catheter slipped off, staff refused to help R1, and R1 urinated all over themselves. LPA reviewed R1’s LIC602 Physician’s Report which states that R1 is incontinent of bowel and bladder, uses briefs, and is unable to care for their own toileting needs. R1’s Care Tracking Sheet states resident is full assist with all ADLs. Care tracking sheet instructions for toilet: Resident needs help with using the bathroom and transferring to and from wheelchair and toilet. Care Plan instructions: Provide assistance with bathing, dressing, hygiene, provide reminders and assist as needed for incontinence care. The care plan and care tracking sheet do not include the use of a condom catheter. 2 of 5 staff stated that some staff had complained about having to help R1 put the condom catheter back on. 3 of 5 staff stated that R1’s condom catheter slips off. 2 of 5 staff stated that R1 pulls the condom catheter off. COO stated R1 does not have a medical need to use a condom catheter, it is their personal preference. It is a choice of comfort for R1 which is not mandated by R1’s doctor. COO stated that R1’s urologist stated that a condom catheter is not appropriate for R1 to use. No documentation was provided to LPA to fact check this statement. It was determined that staff do provide assistance with R1’s condom catheter although the use of a condom catheter is not included in R1’s care plan. LPA is requesting the facility to update R1’s Care Plan to include the use of a condom catheter and request an exception for R1 to use a condom catheter. This allegation is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, and the findings are UNSUBSTANTIATED. Exit interview conducted and a copy of the report was provided to COO Diania Bingham.