Failure to Maintain Resident Dignity with Indwelling Catheter
Penalty
Summary
The facility failed to maintain dignity for Resident 34, who had an indwelling urinary catheter. The resident's quarterly Minimum Data Set (MDS) assessment indicated that the resident was capable of understanding and being understood by others and had an indwelling urinary catheter. The care plan for the resident specified that the urinary drainage bag should be covered with a dignity cover and positioned below the level of the bladder and away from the entrance room door. However, observations on January 7, 2025, revealed that the resident's urinary catheter drainage bag was hooked to the bedframe on the door side of the bed, uncovered, with yellow urine visible. Interviews with staff confirmed the deficiency. A Licensed Practical Nurse (LPN) confirmed that the resident's catheter bag was not covered and was positioned on the door side of the bed. The Director of Nursing (DON) also confirmed that the catheter drainage bag should have been covered with a dignity cover. This failure to adhere to the care plan and maintain the resident's dignity was a violation of the resident's rights as outlined in 28 Pa. Code 201.29(c).
Plan Of Correction
This plan of correction is prepared and executed because it is required by the provisions of the state and federal regulations and not because Patriot Village OPCO LLC agrees with the allegations and citations listed on the statement of deficiencies. Patriot Village OPCO LLC maintains that the alleged deficiencies do not, individually and collectively, jeopardize the health and safety of the residents, nor are they of such character as to limit our capacity to render adequate care as prescribed by regulation. This plan of correction shall operate as Patriot Village OPCO LLC's written credible allegation of compliance. By submitting this plan of correction, Patriot Village OPCO LLC does not admit to the accuracy of the deficiencies. This plan of correction is not meant to establish any standard of care, contract, obligation, or position, and Patriot Village OPCO LLC reserves all rights to raise all possible contentions and defenses in any civil or criminal claim, action or proceeding. 1. The identified concern for R34 was immediately corrected. 2. The Director of Nursing or designee will audit indwelling urinary catheter bags for an appropriate privacy covering, positioning of the catheter bag and tubing below the level of the bladder. 3. The Director of Nursing or designee will re-educate nursing staff on having an appropriate privacy cover of urinary catheter bags and positioning of the catheter bag and tubing below the level of the bladder. 4. The Director of Nursing or designee will audit residents with indwelling urinary catheter bags for the appropriate privacy covering and positioning of the catheter bag and tubing below the level of the bladder. The audits will be conducted weekly x4 and monthly x2. All findings will be submitted to the Quality Assurance Committee.