§483.10(a) Resident Rights. The resident has a right to a dignified existence, self-determination, and communication with and access to persons and services inside and outside the facility, including those specified in this section.
§483.10(a)(1) A facility must treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life, recognizing each resident's individuality. The facility must protect and promote the rights of the resident.
§483.10(a)(2) The facility must provide equal access to quality care regardless of diagnosis, severity of condition, or payment source. A facility must establish and maintain identical policies and practices regarding transfer, discharge, and the provision of services under the State plan for all residents regardless of payment source.
§483.10(b) Exercise of Rights. The resident has the right to exercise his or her rights as a resident of the facility and as a citizen or resident of the United States.
§483.10(b)(1) The facility must ensure that the resident can exercise his or her rights without interference, coercion, discrimination, or reprisal from the facility.
§483.10(b)(2) The resident has the right to be free of interference, coercion, discrimination, and reprisal from the facility in exercising his or her rights and to be supported by the facility in the exercise of his or her rights as required under this subpart.
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Observations: Based on review of select facility policy, clinical record review, and staff interview, it was determined that the facility failed to provide dignity regarding covering urinary catheter bags for one of one resident reviewed for catheters (Resident 87).
Findings include: Clinical record review for Resident 87 revealed a current physician's order for them to have a Foley urinary catheter to straight bag drainage for urinary retention.
Observation of Resident 87 on May 6, 2025, at 12:58 PM, May 7, 2025, at 11:02 AM, May 8, 2025, at 12:42 PM and May 9, 2025, at 10:15 AM revealed that they were in bed with the urinary catheter bag hanging on the side of the bed uncovered.
During the May 6, 2025, at 12:58 PM observation, the catheter bag was on the door side, in full view from the hallway, and visible to all passing. During the May 7, 2025, at 11:02 AM observation, the bag was on the window side of the bed, lying on the floor, in full view from the hallway, and visible to all passing. During the May 8, 2025, and May 9, 2025, observation, the catheter bag was on the window side and attached to the bed and remained uncovered.
Concurrent interview on May 9, 2025, at 10:15 AM with the Director of Nursing confirmed the findings.
28 Pa. Code 201.18(b)(1)(3) Management
28 Pa. Code 201.29(a) Resident rights
| | Plan of Correction - To be completed: 06/10/2025
Privacy cover placed on foley catheter bag and placed on frame of bed.
In house audit completed, 3 residents have foley catheters, all have privacy bags on foley catheter bags.
In-service education programs were conducted separately with licensed and non-licensed staff by the Director of Nursing Services (DON) and the MDS Coordinator. Proper procedures for addressing resident preferences obtained from interview information were discussed. Altering care to accommodate resident choice was also addressed to assure the maintenance of resident dignity and respect.
Nursing Home Administrator (NHA), or designee, will conduct weekly observations x 4 then monthly to ensure staff are promoting and maintaining resident dignity in accordance with resident preferences. Findings of this audit will be discussed with the Resident Council. This plan of correction will be monitored at the monthly Quality Assurance meeting until such time consistent substantial compliance has been met.
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