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F0550
D

Failure to Maintain Resident Dignity by Not Covering Foley Catheter Bag

Torrance, California Survey Completed on 12-17-2025

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 Foley catheter was observed seated in a wheelchair in the hallway without a dignity bag covering the catheter bag. The resident confirmed that he did not have or use a dignity bag for his Foley catheter. The resident's medical history included hemiplegia and hemiparesis following a stroke, difficulty walking, anemia, and the use of a Foley catheter as indicated by physician orders and assessment records. The Minimum Data Set showed the resident was able to make himself understood, understand others, and was independent in several activities of daily living, requiring only supervision for personal hygiene. Interviews with facility staff revealed that the CNA was unaware the resident had a Foley catheter and therefore did not cover the catheter bag. The LVN also did not notice the Foley catheter bag during her shift. The Director of Nursing stated that the resident should have had the Foley catheter covered at all times to maintain privacy and dignity, in accordance with facility policy. Review of facility policies confirmed the requirement to treat residents with respect and dignity and to ensure Foley catheters are covered with a dignity bag.

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