Health inspection·January 6, 2025

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review the facility failed to ensure one of two sampled residents (Resident 1) was treated with respect and dignity by failing to ensure Resident 1 ' s indwelling urinary catheter (medical device which helps drain urine from the bladder) drainage bag was covered with a privacy bag (a bag used to the cover and hold the catheter drainage/collection bag so it is not visible). This deficient practice had the potential for Resident 1 to feel embarrassed and have low self-esteem by not having his catheter drainage bag not covered. Findings: During a review of Resident 1 ' s admission Record (Face Sheet), the Face Sheet indicated Resident 1 was admitted to the facility on [DATE], with diagnoses including type 2 diabetes mellitus (DM – a disorder characterized by difficulty in blood sugar control and poor wound healing) and urinary retention (a condition which makes it difficult or impossible to empty the bladder). During a review of Resident 1 ' s History and Physical (H&P), dated 1/3/2025, the H&P indicated Resident 1 had the capacity to understand and make decisions. During a review of Resident 1 ' s Minimum Data Set (MDS – a federally mandated resident assessment tool) dated 12/25/2023, The MDS indicated Resident 1 had moderate cognitive impairment and required substantial/maximal assistance (helper does more than half the effort) for toileting and showering. The MDS indicated Resident 1 had an indwelling catheter during the assessment period. During an observation on 1/6/2025 at 9:45 a.m., in Resident 1 ' s room, Resident 1 ' s indwelling catheter drainage bag was observed without a privacy bag. During an interview on 1/6/2025 at 10:00 a.m., with Certified Nurse Assistant (CNA) 1, CNA 1 stated the responsibility for caring for residents with catheters is the responsibility of all nursing staff. CNA 1 stated she is responsible for emptying the drainage bags and report any abnormalities to the charge nurse immediately. CNA 1 stated she should have notified the charge nurse immediately to have him/her apply a privacy bag when she noticed Resident 1 ' s drainage bag was not covered. CNA 1 stated residents with exposed drainage bags could feel embarrassed and ashamed if the drainage bag is not covered. During a concurrent observation and interview on 1/6/2025 at 11:03 a.m., with License Vocational Nurse (LVN) 1 in Resident 1 ' s room, LVN 1 stated all staff are responsible for maintaining residents Page 1 of 2 056446 056446 01/06/2025 Paramount Convalescent Hosp. 8558 East Rosecrans Avenue Paramount, CA 90723

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few ' drainage bag. LVN 1 stated Resident 1 ' s drainage bag should have had a privacy bag covering the draining bag. LVN 1 stated residents should have a privacy bag, so they don ' t feel embarrassed and/or ashamed by having the drainage bag exposed to others. LVN 1 stated Resident 1 ' s dignity was compromised by him not having a privacy bag. During an interview on 1/6/2025 at 11:45 a.m., with License Vocational Nurse (LVN) 2, LVN 2 stated all residents that have an indwelling catheter should have a privacy bag cover to ensure the residents dignity is maintained. LVN 2 stated Resident 1 could feel embarrassed and humiliated by his drainage bag being exposed to the public. During a concurrent observation and interview on 1/6/2025 at 12:00 p.m., with Registered Nurse Supervisor (RNS) 1, in Resident 1 ' s room, RNS 1 validated Resident 1 did not have a privacy bag to cover his drainage bag. RNS 1 stated all staff are responsible for ensuring the residents drainage bags are covered with a privacy bag. RNS 1 stated Resident 1 could feel embarrassed, and his privacy was violated because his drainage bag was exposed. During a review of the facility ' s policy and procedure (P&P) titled, Catheter Care, dated 12/19/2022, the P&P indicated, privacy bags will be available and catheter drainage bags will be covered at all times while in use. During a review of the facility ' s P&P titled, Promoting/Maintaining Resident Dignity, revised 12/19/2022, the P&P indicated to maintain resident privacy. 056446 Page 2 of 2