However, on his next stay, these were not updated, nor was a plan drawn up for how to deal with the faulty catheter, which drained urine from the man's bladder.
It played up on the man's first day at the home and a nurse drained it.
He had further problems in the early hours of the second day and a nurse removed the catheter and didn't replace it, because the home didn't have a correctly sized one in stock.
By late afternoon a new one was inserted, but the man's health deteriorated that day. He vomited and later had abdominal pain.
He again vomited on the third day of his stay and his daughter, who was concerned about her dad's deterioration, took him to hospital, where he died four days later.
His death was caused by a heart attack "resulting from his underlying prostate cancer".
Mr Hill found shortcomings with the man's care, including a lack of updated care management plans and failure to escalate concerns about the man's catheter.
Bupa was ordered to apologise to the man's family and train staff members.
