Failure to Maintain Privacy and Dignity for Residents with Indwelling Catheters
Penalty
Summary
The facility failed to ensure the privacy and dignity of residents with indwelling urinary catheters, as required by facility policy and resident rights regulations. Observations revealed that two residents with foley catheters did not have privacy covers on their catheter bags, making the bags visible from the corridor. One resident was observed sitting in a wheelchair with the catheter bag secured under the seat but lacking a privacy cover, and the resident expressed a desire for a privacy cover. Another resident was observed lying in bed with the catheter drainage bag on the floor, also visible from the corridor and without a privacy cover. Both residents had significant medical histories, including kidney failure, cellulitis, amputation, and diabetes, and had physician orders or documentation for indwelling foley catheters. The Director of Nursing confirmed during an interview that the catheter bags should have had privacy covers in place, as per facility policy. The deficiency was cited under resident rights and nursing services regulations.