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F0690
D

Improper Positioning of Urinary Drainage Bag and Catheter Care

Coronado, California Survey Completed on 05-02-2025

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

The facility failed to ensure proper positioning of a urethral catheter and urinary drainage bag for a resident with paraplegia and neurogenic bladder. Upon observation, the resident's urinary drainage bag was found hanging on the bedside rail at waist level, with the catheter tubing looped back toward the resident, rather than being secured below the level of the bladder as required. Clinical staff acknowledged during interviews that the drainage bag should have been placed below the bedside rails to prevent urine from flowing back into the bladder. The facility's policy also indicated that catheter care requires securing the drainage bag and tubing below the level of the bladder.

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