Failure to Provide Appropriate Catheter Care and Securement
Penalty
Summary
A deficiency was identified when a resident with an indwelling urinary catheter was observed without appropriate catheter care. The surveyor noted that the resident's urinary catheter drainage bag contained tinged, red urine and was not covered for privacy. Additionally, the resident did not have a securement device on their leg to stabilize the catheter tubing, as confirmed by both observation and the resident's statement. On a subsequent observation, the drainage bag was found unsecured from the bed frame and instead left in a privacy cover, contrary to proper catheter management protocols. Interviews with the Director of Nursing confirmed that the facility's practice is to use privacy covers and securement devices, but these were not in place for the resident at the time of observation. The resident's medical record included orders for catheter maintenance due to urinary retention, and the care plan acknowledged the presence of an indwelling catheter. Facility policy requires daily evaluation of catheter necessity and prompt removal when no longer needed, but the observed lack of securement and privacy measures constituted a failure to provide appropriate treatment and care.