Integrity Hc Of Herrin

respond and walked back to the couch in the dinner room to watch the television. On 9/11/25 at 11:24 AM, V8 walked by R1 while he was on the couch with visibly wet pants and did not look at R1. On 9/11/25 at 11:25 AM, V7 asked R1 if he wanted to go take a shower and R1 held his pointer finger up at V7. V7 responded with, 1 hour and R1 shook his head yes. R1's pants were still visibly wet. On 9/11/25 at 11:36 AM, V8 walked by R1 while he was on the couch with visibly wet pants and did not look at R1. On 9/11/25 at 11:39 AM, V2 walked by R1 while he was on the couch with visibly wet pants and did not look at R1. On 9/11/25 at 11:41 AM, V6 walked up to R1 and asked him if he is ready for lunch. V1's pants were still visibly wet. On 9/11/25 at 11:46 AM, V8 was near R1, this surveyor pointed out to V8 that R1 had visibly wet pants.

V8 asked R1 if she could take him to change his pants and R1 held up his pointer finger at her. V8 said they can usually get R1 to change his pants if they catch him at his smoke breaks, when he is already up off the couch. V8 stated around 8am today she asked R1 if he wanted to shower, and he told her no.On 9/11/25 at 11:50 AM, V7 come up to R1 while this surveyor and V8 were talking to him and asked him if she could take him to the shower after lunch and R1 shook his head yes. V7 stated R1 should be checked on every 2 hours and cleaned up if he is wet as soon as someone notices it. V7 stated R1 does refuse getting cleaned up at times but sometimes it just takes a new face to get him to agree to care. V7 stated if he refuses to one person then a different person should ask and sometimes, he will agree. On 9/11/25 at 1:07 PM, V7 took R1 to the shower room and shaved R1's face.

Then stood R1 up and pulled his pants and depends down.

R1 had redness on his buttocks and in his groin. V7 then set R1 in the shower chair in the shower room. On 9/11/25 at 2:41 PM, V5 stated she checked on R1 around 9:30 AM. V5 stated she asked him if he wanted to go to the bathroom and he said no. On 9/11/25 at 2:43 PM, V3 (Assistant Director of Nurses) stated she started her morning rounds at 8:00 AM today and when she talked to him this morning, he wasn't visibly wet. On 9/11/25 at 2:51 PM, V10 stated when she took R1 out to smoke around 11:00 AM today she did not notice he had wet pants. On 9/11/25 at 2:54 PM, V6 (Activities Assistant) stated she was over by R1 when he was sitting on the couch around 8:30 AM or 9:00 AM this morning and she smelled a strong urine smell so she asked R1 if he needed to use the bathroom and he told her no. V6 stated when she was passing snacks to R1 at 10:28 AM this morning she did not notice his pants were wet and she did not ask him if he needed to use the restroom or needed cleaned up. On 9/11/25 at 3:26 PM, V4 (Regional Director of Clinical Services) stated residents should be checked at least every 2 hours for incontinence. V4 stated he couldn't find a policy regarding how often residents should be checked for incontinence or a policy related to dignity/visibly wet pants.

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