Failure to Maintain Resident Dignity by Leaving Urinary Drainage Bag Uncovered
Penalty
Summary
The facility failed to ensure that a resident's urinary drainage bag remained covered, as required by facility policy to maintain dignity. Observations revealed that the resident, who was cognitively intact and had diagnoses including paraplegia, chronic kidney disease, neuromuscular dysfunction of the bladder, and a cervical spinal cord injury, was seen in his room and later on the smoking patio with an uncovered urinary drainage bag. The drainage bag cover was observed on the floor next to the resident's wheelchair during one of the observations. Staff interviews confirmed that the urinary drainage bag should have been covered to maintain the resident's dignity, in accordance with the facility's policy. The Director of Nursing and a CNA both acknowledged that the standard of care was not met in this instance, as the resident's urinary drainage bag was left uncovered during multiple observations.