Failure to Provide Privacy Cover for Indwelling Urinary Catheter
Penalty
Summary
The facility failed to provide a privacy cover for a resident with an indwelling urinary catheter, as required by their policy. The policy, dated January 22, 2025, mandates that indwelling urinary catheters must be covered and placed below the bladder for proper drainage. The resident, who was cognitively intact, had an indwelling urinary catheter due to neurogenic bladder, a condition causing loss of bladder control. Observations on March 31, 2025, revealed that the resident's catheter collection bag was uncovered, and urine was visible while being transported by a nurse aide. The nurse aide confirmed the absence of a privacy bag and mentioned searching for one since the morning. The Director of Nursing also confirmed that the catheter tubing should not have been in contact with the fall mat. This deficiency was identified during a review of facility policies, clinical records, observations, and staff interviews, highlighting a failure to adhere to the facility's catheter care policy.