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F0690
D

Catheter Bag Placement Deficiency

Mount Horeb, Wisconsin Survey Completed on 09-15-2025

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

A deficiency was identified when a resident with a suprapubic catheter was observed with their catheter tubing and drainage bag resting on the floor while seated in a recliner. The resident expressed concern about the care of their catheter tubing and drainage bag, noting a history of urinary tract infections. Facility policy, physician orders, and the resident's care plan all specify that catheter tubing and drainage bags should not touch the floor to prevent infection. During interviews, both a CNA and the Director of Nursing confirmed that catheter tubing and drainage bags should not be placed on the floor, and acknowledged that the observed situation was not in accordance with facility protocols. The deficiency was based on direct observation, resident interview, and review of relevant documentation, all of which indicated that the required standard of care for catheter management was not maintained for this resident.

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