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F0550
D

Uncovered Foley Catheter Drainage Bag Compromises Resident Dignity

Pacific Grove, California Survey Completed on 04-25-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

A deficiency occurred when a resident's Foley catheter drainage bag was left uncovered while the resident was lying in bed. During an observation, the drainage bag was found on the floor with visible yellow urine, and it was not concealed by a privacy cover. The resident had a medical history of urinary retention and had an active physician's order for an indwelling Foley catheter. The Director of Nursing confirmed in an interview that the drainage bag should have been covered with a privacy bag, in accordance with facility policy. The facility's policy on dignity, revised in February 2021, specifically prohibits practices that compromise resident dignity and requires staff to help residents keep urinary catheter bags covered. The failure to cover the drainage bag was identified as not upholding the resident's dignity and privacy.

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