F0550

D

Failure to Maintain Dignity and Respect Resident Communication Rights

Randallstown, Maryland Survey Completed on 03-30-2026

Penalty

No penalty information released

Summary

The facility failed to promote resident dignity for a resident with an indwelling urinary catheter. On 3/23/2026 at 8:30 AM, a surveyor observed that this resident’s urinary catheter bag was hanging from the bed without a cover. On 3/24/2026 at 12:35 PM, the same resident was observed with a cover over the urinary catheter bag. However, on 3/26/2026 at 2:43 PM, the resident was again observed lying in bed with the urinary catheter bag uncovered, and the bag cover was seen lying on the floor next to where the catheter bag was hanging. These observations showed that the facility did not consistently ensure the catheter bag was covered, which the surveyor identified as a failure to maintain the resident’s dignity.

The facility also failed to uphold a resident’s right to self-determination and communication during a mealtime. A facility-reported incident and subsequent interviews revealed that a resident was on the phone with their sister, who was also the resident representative, and their mother at lunchtime when staff arrived to assist with feeding. The staff member told the resident they would be fed after they finished their phone conversation and refused to feed the resident while they remained on the phone, despite the sister stating it was acceptable to feed the resident during the call. The staff member left, stating they would return once the resident was off the phone. During an interview, the DON acknowledged that the resident had the right to be fed while on the phone but stated that staff could not be made to do something they were uncomfortable with. The surveyor informed the DON that the resident’s rights had been denied because the resident had to end the phone call in order to receive their meal.