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F0550
D

Failure to Maintain Privacy and Dignity for Resident with Indwelling Catheter

Dolton, Illinois Survey Completed on 12-29-2025

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 resident with a history of tracheostomy status, quadriplegia, neuromuscular dysfunction of the bladder, and a urinary tract infection was observed in bed with an indwelling urinary catheter drainage bag resting on the floor and not covered by a privacy bag. The drainage bag was visible to anyone passing by in the hallway on two separate occasions. The registered nurse caring for the resident stated that the bed was in a low position and was unsure how to prevent the drainage bag from touching the floor. The nurse also confirmed that the resident was able to understand and respond to questions. The Director of Nursing was notified and confirmed that the urinary drainage bag should not touch the floor and should be covered with a privacy bag to maintain the resident's privacy. The resident's care plan indicated the presence of an indwelling urinary catheter related to a pressure injury, with a goal to prevent catheter-related trauma. The facility's dignity policy emphasized the importance of maintaining resident dignity, including refraining from leaving urinary catheter bags uncovered.

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