Failure to Maintain Resident Dignity in Catheter Care and Dining Assistance
Penalty
Summary
The facility failed to ensure that three residents were treated with respect and dignity, as required by policy and regulatory standards. For one resident with benign prostatic hyperplasia, Parkinson's Disease, and Alzheimer's dementia, repeated observations showed that the Foley catheter drainage bag was visible from the doorway and not covered by a privacy bag, despite care plan interventions specifying that the bag should be positioned away from the entrance and covered. Staff interviews confirmed that catheter bags should always be covered and not visible to promote dignity, but this was not consistently practiced. Another resident with reflex neuropathic bladder and acute kidney failure was also observed multiple times with a catheter drainage bag visible from the hallway, labeled with personal information and not stored in a privacy bag. Staff, including CNAs and nurses, acknowledged during interviews that catheter drainage bags should always be stored in privacy bags and out of direct view to maintain resident dignity, but this standard was not upheld for this resident. A third resident with dementia, who had recently experienced a decline and now required assistance with meals, was observed lying in bed and unable to eat breakfast independently. The resident requested help but did not receive assistance for nearly an hour, resulting in a lack of a dignified dining experience. Staff interviews confirmed the resident's need for feeding assistance and the expectation that all residents should have a dignified eating experience, but this was not provided in a timely manner.