Deficient Catheter Maintenance and Missed Urology Follow-Up
Penalty
Summary
The facility failed to ensure proper maintenance of urinary catheters to prevent the impediment of urinary flow for a resident with an indwelling catheter. Observation revealed that the resident's catheter collection bag was folded over below the drainage tube, which impeded the flow of urine from the bladder into the collection bag. This was confirmed by a CNA during the survey. The resident had a history of hemiplegia, cerebrovascular disease, neuromuscular bladder dysfunction, BPH, and urinary retention, and was dependent for toileting. Additionally, the facility did not ensure that follow-up appointments with urology were scheduled for a resident with a history of recurrent UTIs. The resident had previously been seen by urology and had a retroperitoneal ultrasound completed, but there was no evidence of any follow-up appointments after the last documented visit. The resident reported frequent UTIs and reliance on medication to prevent them, and the DON confirmed that no follow-up appointments had been scheduled as required.