Catheter Bag Found Touching Floor During Resident Care
Penalty
Summary
A deficiency was identified when a resident with a history of urostomy, spina bifida, seizures, and chronic kidney disease, who had an indwelling urinary catheter, was observed with her catheter collection bag touching the floor while lying in bed. The resident's care plan included specific instructions regarding catheter care, and her assessment indicated she required substantial to maximal assistance with all activities of daily living due to severely impaired cognition. During the observation, approximately three inches of the catheter bag were in contact with the floor, which was confirmed by staff interviews. Nurse Aide #1, responsible for the resident's care, acknowledged that the catheter bag should not be touching the floor and explained that the bag could touch the floor if the bed was set too low. The aide was unsure how long the bag had been in contact with the floor, as she typically emptied it at the end of her shift. Both the interim DON and the interim Administrator confirmed in interviews that the catheter bag should not have been on the floor and should have been positioned to prevent such contact, regardless of bed height adjustments.