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F0690
D

Failure to Perform Complete Catheter Care per Facility Policy

East Moline, Illinois Survey Completed on 05-21-2025

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 certified nursing assistant (CNA) failed to perform indwelling urinary catheter care according to facility policy for a resident with a urinary catheter. The facility's policy requires that catheter care be performed every shift and as needed, including cleansing the resident's meatus, perineal area, and the catheter tube itself. During an observed catheter care procedure, the CNA assisted the resident to stand and cleansed only the perineal area, omitting care to the meatus and the catheter tube. The CNA later confirmed that the meatus and catheter tube should have been cleansed during the procedure. The Director of Nursing (DON) also verified that proper catheter care for a male resident includes cleaning the meatus, perineal area, and catheter tube each time care is provided. This failure to follow established catheter care procedures was identified for one resident reviewed for urinary catheters out of a sample of 35.

See complete original report
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