Inspection·May 12, 2022

F 0690 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few 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 facility policy, record review, observation, and interview, the facility failed to maintain in-dwelling urinary catheters according to facility policy for 2 of 2 sampled residents (#44 and #54). The findings included: Facility policy titled: Foley Catheter Care and Maintenance effective date 01/01/2020 reads, 1. Keep the drainage bag below the level of your bladder and off the floor at all times. 2. Keep the catheter secured to your thigh to prevent it from moving. 1). Record review revealed Resident #44 was admitted to the facility on [DATE], with diagnosis that include Cerebral Vascular Accident (stroke) and Dementia. The quarterly assessment on 04/09/2022 documented the resident as being severely cognitively impaired and having a functional status of total dependence on staff performance for all activities of daily living and care. A Physicians order dated 03/22/2022 documented,, Foley catheter care every shift per facility protocol Care Plan dated 01/26/2022 documented, Catheter care per facility protocol. Keep drainage bag off the floor. During observations for Resident #44 on 05/09/2022 at 7:55 AM, the in-dwelling urinary catheter drainage bag was noted to be lying on the floor on the right side of the bed. At 10:25 AM the catheter drainage bag was again noted on the floor (photographic evidence obtained). During an observation of wound care performed by the Director of Nurses (DON) at 2:09 PM, it was noted the in-dwelling urinary catheter was not secured to the resident's thigh and pulled tight during turning. On 05/10/2022 at 10:30 AM, during an observation of catheter care for Resident #44, performed by Staff A assisted by Staff B and Staff C, it was again noted that the in-dwelling urinary catheter was not secured to the thigh. Post urinary catheter care, the bed was lowered, and the catheter drainage bag was noted on the floor. 2) Record review revealed Resident #54 was admitted to the facility on [DATE] with diagnosis that include Cerebral Vascular Accident (stroke) and Dementia. The admission assessment on 04/22/2022 documented the resident as being severely cognitively impaired and having a functional status of total dependence on staff performance for all activities of daily living and care. A Physicians order dated 04/12/2022 documented, Foley catheter care every shift per facility protocol Care Plan dated 04/15/2022 states, Catheter care per facility protocol. Keep drainage bag off the floor. During observations for Resident #54 on 05/09/2022 at 8:55 AM, the in-dwelling urinary catheter drainage bag was noted to be lying on the floor on the right side of the bed. At 9:37 AM, the catheter (continued on next page) 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: 106018 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 106018 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/12/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Glades Health Care Center 230 South Barfield Highway Pahokee, FL 33476 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)