Failure to Secure Urinary Catheter Tubing as Ordered
Penalty
No penalty information released
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
Facility staff failed to secure a urinary catheter in a manner that would prevent skin trauma for one resident. The resident had moderate cognitive impairment, a life expectancy of six months or less, an indwelling urinary catheter, a stage 4 pressure ulcer, and required significant assistance with activities of daily living. According to the resident's Treatment Administration Record, the catheter tubing was to be secured to the thigh to avoid pulling. However, during two separate observations, the catheter tubing was found lying across the resident's thigh and not secured as ordered. The Assistant Director of Nursing confirmed that the catheter tubing was not secured and acknowledged it should have been.