Failure to Maintain Resident Dignity in Catheter Care and Dining Experience
Penalty
Summary
Surveyors identified deficiencies related to resident dignity and the right to a dignified existence. One resident with multiple complex medical conditions, including Parkinson's disease, chronic kidney disease, and an indwelling urinary catheter, was observed with their catheter collection bag lying on the floor and visible from the hallway. The collection bag was not covered, and urine was visible to passersby. This was confirmed by a registered nurse at the time of observation. The resident's care plan included instructions for the catheter collection bag to remain covered, and staff were to monitor and remind the resident as appropriate, but these interventions were not followed. Another deficiency was observed regarding the dining experience for residents. One resident, with diagnoses including chronic obstructive pulmonary disease, vascular dementia, and severe morbid obesity, was served meals and drinks in disposable Styrofoam containers and cups during both breakfast and lunch. The resident reported that meals were always served on disposable products and expressed a preference for regular dishes. Observations confirmed that disposable containers and cups were used throughout the facility during meal times. The dietary manager confirmed that disposable products were used when the department was short-staffed and that the facility did not have enough dishes to serve all residents. Facility policy stated that residents should be provided with a dignified dining experience, but this was not upheld due to the use of disposable products. These findings were based on record review, observation, resident and staff interviews, and policy review.