Bria Of Westmont

pm, 5 minutes before the State Surveyor came in, and changed her brief and put her on the toilet and left her there. R3 said that this happens everyday, and it makes her mad. R3's 7/2/25 Care Plan showed a focus on ADL deficits related to generalized weakness and immobility secondary to MS, and paraplegia.

The interventions included staff meet R3's needs throughout the day, toileting every two hours and as needed. R3's care plan showed a focus for bowel and bladder with a goal to keep clean and dry and odor free. On 08/26/25 at 1:55 PM, V4 CNA (Certified Nurse's Assistant) said that she was informed by R3 that she needed to be changed at 12:30pm and she told her she would have to wait until she finished passing the trays. V4 said that R3 asks everyday to be changed at that time and R3 has had her lunch tray and has been outside so it is now time for the other residents to be provided care. V4 said that the trays have to be served timely. V4 said that she did not return to R3 to provide incontinence care for her until around 1:10 pm - 1:20 pm and said that that was not timely for incontinence care and that not providing incontinence care could cause skin breakdowns. V4 said that she was the only staff to provide care for R3, but she could have asked the nurse to assist or another staff, but she didn't. V4 said that when she did return to provide incontinence care between 40 to 50 minutes later, she asked another staff to assist. V4 said that she did not ask that staff earlier to assist because that staff was feeding residents. On 08/26/25 at 5:38 PM, V1 (Administrator) said that incontinence care should be provided every two hours and as needed. V1 said that if a resident informs the staff that they need incontinence care it should be provided then. V1 said that 40 to 50 minutes to wait for staff to provide incontinence care is not appropriate. V1 said that a 40-to-50-minute delay in providing incontinence care could cause skin breakdowns, infections and it is a dignity issue for the residents. On 08/26/25 at 4:42 PM, V2 DON (Director of Nursing) said that residents should be provided incontinence care as soon as they inform the staff that they need it. V2 said that 40 to 50 minutes is not acceptable to have to wait for incontinence care because it increases the risk of skin breakdowns and increases the risk for infections. V2 said that the residents call her and tell her that they have been waiting over for the staff to provide incontinence care for them. V2 said that it is unacceptable for R3 to be incontinent of urine and have not been changed from 11am until 1:20 pm. V2 said that her expectations are that if staff are passing lunch trays and someone asks for assistance the staff is to ask the nurse to pass the trays or assist the resident. V2 said that if the nurse is busy the staff are to call her to assist. V2 said she is aware that R1 had to wait 40 to 45 minutes to be provided incontinence care and that was unacceptable.

The 6/30/25 Resident Council meeting notes showed under Nursing/CNA, residents would like staff to be quicker in responding to their needs. At times CNA's will say I'm not your CNA.

The facility's ADL (Activities of Daily Living) policy (6/2025) showed that it is a program performing and assisting the residents with elimination to prevent disability and maintaining maximal functioning.

The policy shows under Elimination, assistance is to be given as required.

The policy did not show when staff should provide ADL assistance for the residents.The facility's Incontinence Care policy (10/2024) showed that incontinence care is provided to keep the resident as dry, comfortable, and odor free as possible. It also helps in preventing skin breakdown.

The policy did not show when staff should provide incontinence care for the residents.The facility's Toileting Residents policy (6/2025) showed that staff should be providing residents with assistance with toileting safely and on a routine basis in a timely manner.

Facility ID: