Inadequate Catheter Care for Two Residents
Penalty
Summary
The facility failed to provide adequate catheter care for two residents, as evidenced by observations and staff interviews. Resident R4, who was admitted with chronic respiratory failure, anoxic brain damage, and urine retention, was observed with their indwelling urinary catheter drainage bag lying flat on the floor beside their bed. This observation was confirmed by a nurse aide, Employee E5, who acknowledged that the catheter drainage bag should not be on the floor. Similarly, Resident R39, admitted with chronic respiratory failure, muscle weakness, and urine retention, was also observed with their indwelling urinary catheter drainage bag lying flat on the floor beside their bed. This was confirmed by a registered nurse, Employee 6, who also acknowledged that the catheter drainage bag should not be on the floor. These findings indicate a failure to ensure proper catheter care for the residents, as required by the regulations.
Plan Of Correction
1. Resident R4 and R39's foley bag was removed from touching the floor. 2. Other Residents with foley bags were checked for location off of the floor. 3. C.N.A.'s in-serviced to ensure they are checking proper location of foley bags. 4. ADON or designee will conduct random audits weekly to ensure compliance. Results of audits will be shared at the monthly QAPI meeting x3 months, overseen by the Administrator.