Failure to Provide Privacy Cover for Urinary Catheter Bag
Penalty
Summary
The facility failed to provide a privacy cover for a urinary catheter drainage bag for one resident with a documented need for such an intervention. The resident's care plan, revised on 01/26/2025, specifically included an intervention to keep the catheter drainage bag in a privacy cover due to urinary retention. Despite this, multiple observations on 05/27/2025 revealed that the resident's catheter drainage bag was visible both in the dining area and in the resident's room, with yellow urine clearly visible in the bag. The bag was attached under the wheelchair seat and to the bed railing, and was visible from the doorway, including in the presence of a roommate. Interviews with facility staff confirmed that the resident's catheter drainage bag was not covered during the observed periods. Both a Licensed Practical Nurse and a Certified Nursing Assistant acknowledged that the catheter drainage bag should have been covered at all times, and the Director of Nursing confirmed this expectation. The resident involved had impaired cognition, as indicated by a Brief Interview for Mental Status score of 5 on the most recent assessment.