F 0583
Keep residents' personal and medical records private and confidential.
Level of Harm - Minimal harm
or potential for actual harm
Based on observations, record review, and interviews, the facility failed to provide adequate privacy during
hygiene and catheter care for one resident (Resident #7) out of three residents sampled with an indwelling
urinary catheter. Resident #7's roommate entered the room while Resident #7 was exposed. At the time of
the survey, nine residents with an indwelling urinary catheter resided in the facility. The findings include.
During an observation on November 5, 2025, at 9:45 AM, Staff A, Licensed Practical Nurse (LPN),
performed hygiene care for Resident #7. The privacy curtain did not completely extend around the bed,
leaving Resident #7 exposed. Additionally, the roommate entered the room while care was ongoing.In an
interview conducted on November 5, 2025, at 12:33 PM, Staff A, LPN, was asked about the facility's
protocol related to providing privacy during personal care. Staff A acknowledged, I was aware that the
curtain did not extend around the resident, but I did not want to stop because I did not want the resident to
refuse care.During an interview on November 5, 2025, at 12:51 PM, the Director of Nursing (DON) stated,
Staff are to provide privacy to the best of their ability. Record review of a policy titled Promoting/Maintaining
Resident Dignity date Implemented: 5/2020 date reviewed/revised: 4/2023 revealed Policy:It is the practice
of this facility to protect and promote resident rights and treat each resident with respect and dignity as well
as care for each resident in a manner and in an environment, that maintains or enhances resident's quality
of life by recognizing each resident's individuality.Compliance Guidelines:All staff members are involved in
providing care to residents to promote and maintain resident dignity and respect residents' rights.
Residents Affected - Few
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other
safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the
date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER
REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Facility ID:
If continuation sheet
Page 1 of 2
Event ID:
105596
Printed: 05/28/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
105596
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
11/05/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Regents Park at Aventura
18905 NE 25th Ave
Aventura, FL 33180
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0690
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate
catheter care, and appropriate care to prevent urinary tract infections.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observations, record review and interviews facility failed to provide appropriate catheter care to facilitate the
flow of urine for one (Resident#7) out of three sampled residents who had indwelling urinary catheter, as
evidenced by during catheter care Resident#7's indwelling urinary catheter drainage collection bag and
tubing were positioned on top of bed with backflowing urine noted in the tubing. This deficient practice
prevented the free flowing of urine that would be accumulated in the bladder causing discomfort and
increasing the risk for catheter-associated urinary tract infections and other serious medical issues. There
were nine residents with indwelling urinary catheters residing in the facility at the time of this survey.The
findings include. During an observation on 11/05/25 at 9:45 AM, Staff A, a Licensed Practical Nurse (LPN),
performed hygiene and catheter care for Resident #7. The urinary drainage bag and tubing noted with urine
were positioned on the bed next to the resident's feet in level with the bladder, causing backflow of urine.
(Photographic evidence). At 10:02 AM, Staff A, LPN lowered the drainage bag, opened the port, emptied
the urine into a urinal, and closed the port without cleaning it.A review of Resident #7's demographic sheet
revealed the resident was admitted on [DATE] and readmitted on [DATE] with diagnoses that included
Hemiplegia and Hemiparesis following cerebral infarction affecting the left non-dominant side.A review of a
Significant Change Minimum Data Set reference dated 9/13/25 indicated that Resident #7 had a Brief
Interview for Mental Status score of 5 out of 10, suggesting severe cognitive impairment.A review of
Resident #7's physician's order sheet revealed an order dated 10/28/25 to always keep the urine collection
bag below the level of the bladder.On 11/5/25 at 12:33 PM Staff A, LPN stated: the urinary drainage
collection bag should be placed in the dignity bag and hooked on the bed frame to help urine flow to
prevent urine from going back into the bladder which can contribute to a Urinary Tract Infection (UTI).
During care it is okay to leave the drainage bag on the bed because I wanted to prevent any trauma .That
positioning could cause reflux due to the kinking; I am supposed to clean the port with an alcohol pad
before and after draining the urine to prevent infection.On 11/05/25 at 12:03 PM, the Infection Control
Preventionist revealed staff must ensure the urinary drainage bag does not touch the floor and must hang
by gravity to maintain a good flow and prevent stasis, which can contribute to UTI due to backflow of urine.
When emptying the urine bag, the exit port should be cleaned with soap and water before and after to
prevent infection.During an interview on 11/05/25 at 12:51 PM, the Director of Nursing (DON) stated that
the bag should remain below the level of the bladder to prevent urine reflux, which can cause a UTI. The
staff left the urinary drainage collection bag on the bed during hygiene care to prevent any trauma. The
DON noted that there was no facility policy regarding the correct positioning of the indwelling urinary
catheter drainage bag and that it is common knowledge.
Event ID:
Facility ID:
105596
If continuation sheet
Page 2 of 2
