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F0550
D

Failure to Provide Privacy for Resident's Foley Catheter Bag

Newport, Vermont Survey Completed on 07-17-2025

Penalty

Fine: $121,650
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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 ensure that a resident was treated with respect and dignity regarding the management of personal medical equipment, specifically a Foley catheter. According to the resident's care plan, staff were required to provide privacy and comfort by covering the Foley catheter bag with a privacy bag. Despite this directive, multiple observations over three consecutive days revealed that the resident's Foley bag was not covered with a privacy bag and was visibly draining yellow urine. The resident, who was dependent on staff for activities of daily living and hygiene, was not cognitively impaired and expressed a desire for the Foley bag to be properly covered, especially in public settings. Interviews with staff confirmed the absence of the privacy bag, and the issue persisted despite acknowledgment from an LPN that the bag needed to be covered. The facility's policy emphasized treating each resident with respect and dignity, and the care plan specifically instructed staff to provide a privacy bag for the Foley catheter. The repeated failure to follow these instructions resulted in the resident not being afforded the privacy and dignity outlined in both facility policy and the resident's care plan.

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