Failure to Maintain Resident Dignity by Not Using Catheter Privacy Bag
Penalty
Summary
A deficiency was identified when a resident with severe cognitive impairment, chronic kidney disease, and an indwelling Foley catheter was repeatedly observed without a privacy bag covering the catheter drainage bag. Observations on multiple occasions showed the drainage bag was visible from the doorway and in public areas, with no privacy bag in place, despite care plan interventions and physician orders specifying the use of a privacy bag to maintain dignity. The resident was non-interviewable due to cognitive impairment. Interviews with CNAs, an LVN, the DON, and the Administrator confirmed that staff were aware of the expectation to use privacy bags for catheter drainage bags to promote resident dignity. Staff acknowledged the absence of the privacy bag and indicated that it should have been reported and replaced. Review of the facility's Resident Rights policy revealed it did not address dignity, and the failure to ensure the privacy bag was in place was not identified or corrected by staff prior to the survey.