Failure to Maintain Infection Control Standards for Urinary Catheter Care
Penalty
Summary
Surveyors identified that the facility failed to adhere to infection control standards for two residents with urinary catheters. For one resident with a history of urinary retention, obstructive and reflux uropathy, and sepsis, the urinary catheter drainage bag was observed lying on the floor next to the bed. The resident was being treated for a urinary tract infection at the time, and the care plan included interventions for infection control and contact isolation. A CNA confirmed that the drainage bag should not be on the floor due to infection control concerns and repositioned it appropriately. The facility's policy requires catheter bags to be covered for privacy and kept off the floor, but this was not followed in this instance. Another resident, admitted with diagnoses including urinary tract infection and dementia, was also observed with a urinary catheter drainage bag lying on the floor and without a privacy bag. Nursing documentation indicated recent urinary retention and Foley catheter insertion. The DON was notified of the issue and acknowledged the need to correct the placement of the drainage bag. These observations were supported by photographic evidence and demonstrated non-compliance with the facility's infection control and catheter care policies.