complaint·June 30, 2025

Regarding the allegation : Staff did not ensure resident's catheter needs were being met. It is being alleged that resident #1 (R1)’s catheter was plugged and R1 was experiencing urinary retention. LPA interviewed staff #1 (S1) and staff #2 (S2) who confirmed that R1 has a difficult time managing their catheter needs. LPA asked for Home Health, Hospice and/or skilled professional documentation that would show R1 was being helped/being provided assistance with their catheter. S1 and S2 confirmed that R1 was not under any skilled professional help. Let it be noted, that R1 is diagnosed with dementia, traumatic brain injury and altered mental status and is not physically and mentally capable of caring for their catheter. Additionally, LPA received R1’s Physician’s Report and Resident Appraisal. In addition, Valley Presbyterian Hospital confirmed that R1 now needed treatment for renal failure and UTI-Urinary Tract Infection. Therefore, based on the LPA's record reviews and staff interviews conducted the allegation is SUBSTANTIATED at this time. An exit interview was conducted, citation(s) were issued, appeal rights were provided, and a copy of this report was given to the resident care director.