Failure to Maintain Resident Dignity by Leaving Catheter Bag Uncovered
Penalty
Summary
The facility failed to ensure that residents were treated with dignity and respect, as required by its Quality of Life policy, which specifies that staff must refrain from demeaning practices such as leaving urinary catheter bags uncovered. During an observation, a resident with Myotonic Muscular Dystrophy and functional quadriplegia was transferred via Hoyer lift for a shower, and after being covered with blankets, a CNA placed the resident's uncovered urinary catheter bag at his feet. The CNA stated that catheter bags are normally covered when the resident is in a wheelchair, but did not cover it during transport to the shower room. The CNO confirmed that catheter bags have covers and was unsure why the cover was not used in this instance, acknowledging that it should have been covered.