Avina Of Weyauwega

Review of R1's physician orders, dated 10/6/25, revealed no current orders for a urinary catheter or catheter care.

During an observation on 10/6/25 at 11:35 AM, R1 was in bed with catheter tubing visible.

During an interview on 10/7/25 at 11:16 AM, Licensed Practical Nurse (LPN)1 said LPN1 provided catheter care to R1 earlier but did not check to see if there was a current order in place. LPN1 stated when R1 was readmitted to the facility from the hospital, nursing staff should have clarified if R1 still required a catheter. LPN1 stated LPN1 had not been documenting catheter care on R1's Treatment Administration Record (TAR) since there was not a current catheter order.

During an interview on 10/7/25 at 12:42 PM, the Director of Nursing (DON) said nursing staff should look at a resident's physician orders each time they provide care.

The DON stated staff are expected to document after care is provided and if there is not a current order, staff should clarify and obtain one.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

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