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F0550
D

Failure to Maintain Resident Dignity by Not Covering Urinary Catheter Bag

Ligonier, Pennsylvania Survey Completed on 09-05-2025

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

The facility failed to maintain the dignity of a resident with an indwelling urinary catheter. According to facility policy, staff are required to ensure urinary catheter bags are covered to prevent demeaning exposure. During an observation, a resident was found lying in bed with her urinary drainage bag uncovered and visible from the doorway, with yellow urine clearly seen in the bag. Staff interviews confirmed that the privacy cover was not in place, and the Nursing Home Administrator acknowledged that this was not in accordance with facility policy. The deficiency was identified through review of policies, clinical records, direct observation, and staff interviews.

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