Failure to Prevent Catheter Drainage Bag from Touching Floor
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
The facility failed to ensure proper positioning of a urinary catheter drainage bag for a resident with an indwelling suprapubic catheter, as required by facility policy. The policy, last reviewed on June 20, 2019, specifically states that drainage bags should never touch the floor to reduce infection risk. Clinical record review showed the resident had end stage renal disease and aphasia, with physician orders for regular catheter and drainage bag changes. On two separate occasions, direct observation revealed the resident's catheter drainage bag was in contact with the floor. These findings were confirmed in interviews with two LPNs present at the time of each observation.