Failure to Maintain Dignity and Privacy for Resident With Indwelling Catheter
Penalty
Summary
The facility failed to ensure a resident’s right to a dignified existence and an environment that promotes maintenance or enhancement of quality of life, as required by its Resident Rights policy and 28 Pa. Code 201.29(a). The policy stated that residents have the right to an environment that promotes quality of life, including respect, dignity, and privacy. Clinical record review for Resident 7 showed diagnoses including urinary tract infection, flaccid neuropathic bladder, and weakness. On one observation, the resident wheeled herself from the dining room to her room with her catheter bag hanging down underneath her chair with urine exposed. On another observation, the resident was seated at a dining room table with her catheter bag facing outward underneath her chair, again with urine exposed. In an interview, the Director of Nursing stated she would expect residents to have the right to a dignified existence. These observations demonstrated that the resident’s urinary catheter bag was repeatedly left visible with urine exposed in common and dining areas, contrary to the facility’s policy requiring respect, dignity, and privacy for residents.
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