Failure to Maintain Resident Dignity
Penalty
Summary
The facility failed to ensure that care and services were provided in a manner that enhanced resident dignity for one of the residents sampled. Specifically, Resident 61 was observed on two separate occasions with their catheter bag full of urine, uncovered, and laying on the floor. These observations were made from the hallway while the resident was sleeping in bed, indicating a lack of privacy and dignity in the care provided. The observations were made on January 21 and January 22, 2025, and were discussed with the Director of Nursing on January 24, 2025. This deficiency was previously cited on February 16, 2024, indicating a recurring issue with maintaining resident dignity and proper care standards. The facility's failure to address this issue demonstrates a lack of adherence to the resident's rights to a dignified existence and quality care.
Plan Of Correction
Cited: Resident 61's Catheter bag was placed in a cover and moved to the non-hallway side of the bed. • Like: Residents requiring the use of a urinary catheter were audited to ensure the catheter bags were covered and placed on the non-hallway side of the bed. • Education: DON/designee will educate nursing staff catheter bags being in covers and on non-hallway side of the beds. • Audits: DON/designee will audit residents with catheter bags to ensure they are in covers and placed on non-hallway sides of the bed. Audits will be completed weekly x4 weeks then monthly x 2 months. Results will be taken through QAPI.