Catheter Bag Found on Floor—Infection Control Lapse
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 maintain proper infection control practices when a resident's catheter bag was repeatedly observed lying on the floor. The resident involved had a history of quadriplegia, pure hypercholesterolemia, and neuromuscular dysfunction of the bladder, and was admitted with an indwelling catheter in place per physician order. Despite a care plan indicating severely impaired cognition and frequent bladder incontinence, observations on multiple occasions showed the catheter bag on the floor while the resident was resting in bed. This was confirmed by an LPN during an interview, indicating a lapse in infection prevention and control protocols for catheter care.