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F0677
D

Failure to Provide Timely Assistance with Toileting Hygiene

Norwalk, California Survey Completed on 07-18-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

A deficiency occurred when a resident with diagnoses including weakness, Parkinson's disease, and type 2 diabetes mellitus did not receive timely assistance with toileting hygiene. The resident's Minimum Data Set indicated intact cognitive skills and a need for moderate assistance with toileting hygiene. On the morning of the incident, the resident reported being wet with urine since 5 a.m. and stated that staff were aware of her need for assistance. Observation confirmed the resident was still in bed in her nightgown at 9:45 a.m. and had not yet been assisted. A Certified Nurse Assistant (CNA) acknowledged awareness of the resident's need for changing but stated she was busy with another resident after arriving at 6:30 a.m. The CNA was later observed assisting the resident with toileting and personal hygiene at 10:00 a.m. The Director of Nursing confirmed that all residents should be assisted with toileting hygiene and that failure to do so could have negative outcomes. Facility policies reviewed indicated a requirement to provide services that meet residents' individual needs and promote hygiene, comfort, self-esteem, and dignity.

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