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F0550
E

Failure to Maintain Resident Dignity During Meal Assistance and Catheter Care

Honolulu, Hawaii Survey Completed on 04-30-2025

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

Staff failed to ensure the right to a dignified existence for four residents. Certified Nurse's Aides (CNAs) were observed standing over three residents while assisting them with meals, rather than sitting or being at eye level. These residents were in bed with their heads elevated during meal assistance. Facility policies on meal supervision and promoting dignity did not specify that staff should be seated or at eye level when assisting residents with meals. The Interim Director of Nursing confirmed that staff typically stand while assisting, regardless of resident preference, and acknowledged the lack of policy guidance on this matter. Additionally, a resident with a urinary catheter was observed lying in bed with the catheter collection bag visible from the hallway and not covered with a privacy bag, despite a physician's order requiring a privacy cover. The Interim Director of Nursing confirmed that all urinary catheter collection bags are to be covered at all times, indicating a failure to follow established orders and maintain resident dignity.

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