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F0690
D

Failure to Provide Appropriate Catheter Care and Documentation

Southfield, Michigan Survey Completed on 08-15-2025

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

A resident with cognitive communication deficit, Alzheimer's disease, and dementia was observed lying in bed with a Foley catheter resting directly on the ground and without a privacy bag. The resident was nonverbal and unable to participate in an interview. Review of the medical record revealed that upon readmission, there were no physician orders for the Foley catheter and no care plan addressing catheter care. The Director of Nursing confirmed that protocol requires a diagnosis, orders, privacy bag, anchoring device, care plan, and continuous monitoring for residents with a Foley catheter, none of which were in place for this resident at the time of observation.

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