Failure to Maintain Infection Control for Urinary Catheter Care
Penalty
Summary
The facility failed to maintain proper infection control practices for a resident with a urinary catheter. On multiple occasions, surveyors observed the resident's catheter bag clipped to a trash can at the bedside, with the base of the urine collection bag resting directly on the floor. These observations were made on three separate dates, and photographic evidence was obtained. The Director of Nursing, who also served as the Infection Prevention Nurse, confirmed during an interview that the catheter bag was attached to the trash can and acknowledged that this was not appropriate, verifying that the catheter urine collection bag should not be on the floor to prevent infection. The deficiency involved one resident with a urinary catheter, and the improper placement of the catheter bag and tubing was repeatedly observed over several days, with confirmation from facility leadership that the practice did not meet infection control standards.