Failure to Maintain Resident Dignity by Not Covering Foley Catheter Drainage Bag
Penalty
Summary
Facility staff failed to ensure the dignity of a resident with an indwelling Foley catheter. During the initial facility tour, a surveyor observed that the resident's Foley catheter drainage bag was attached to the bed frame and was not covered with a privacy barrier, making the urine visible. The resident's electronic medical record indicated a physician order for both the indwelling Foley catheter and a privacy bag to be in place every shift. In an interview, the DON confirmed that the facility provided privacy barrier covers for Foley catheter drainage bags and that it was the nursing staff's responsibility to ensure these were used upon resident admission. The deficiency was identified when the resident was found without the required privacy barrier, despite facility policy and physician orders mandating its use.