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F0550
D

Uncovered Foley Catheter Bag Violates Resident Dignity

Whittier, California Survey Completed on 05-30-2025

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 was identified when a resident with severe cognitive impairment, dementia, benign prostatic hyperplasia, and acute kidney failure was observed with an uncovered Foley catheter urinary drainage bag. The resident required significant assistance with daily activities and had a Foley catheter in place for urinary retention. During an observation, the urinary drainage bag was visibly exposed, showing yellow urine, and was not covered as required by facility policy. Interviews with facility staff, including an LVN, the Director of Staff Development, and the Director of Nursing, confirmed that the urinary drainage bag should have been covered to protect the resident's dignity, in accordance with facility policy and procedures. Review of the facility's policies further indicated that all residents are to be treated with dignity and respect, and that staff are expected to help residents keep urinary catheter bags covered. The failure to cover the urinary drainage bag constituted a violation of the resident's right to dignity and respect.

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