Health inspection·July 17, 2023

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, staff and resident interviews, record review, and policy review, the facility failed to provide a privacy cover for a urinary catheter drainage bag. This affected one resident (Resident #6) of one resident reviewed for an indwelling urinary catheter. The facility identified four residents with indwelling urinary catheters. The census was 53. Finding include: Record review revealed Resident #6 was admitted to the facility on [DATE] with diagnoses including cardiac arrhythmia, chronic obstructive pulmonary disease, schizophrenia, muscle weakness, and urinary retention. Review of the 5-Day Minimum Data Set (MDS), dated [DATE], revealed Resident #6 was cognitively intact and required extensive, two-person physical assistance with dressing, toileting, bed mobility, and transfers. Review of Resident #6's Care Plan, dated 07/14/23, revealed the resident had the potential for a urinary tract infection (UTI) related to the presence of an indwelling urinary catheter for urinary retention. During observation on 07/17/23 at 11:18 A.M., Resident #6 was noted to have an indwelling urinary catheter attached to the side of his wheelchair, as he propelled through the hallway and common area. Yellow urine was collected in the urinary drainage bag and visible to others. During interview on 07/17/23 at 11:20 A. M, Resident #6 stated he would like his urinary catheter bag covered for privacy. During interview on 07/17/23 at 11:22 A.M., Licensed Practical Nurse (LPN) #100 confirmed there was no privacy covering on Resident #6's urinary catheter bag. During interview on 07/17/23 at 1:40 P.M., Corporate Registered Nurse (RN) #206 stated it was her expectation nursing staff use a privacy cover for urinary collection bags and that she would remedy the situation immediately. Review of the facility's policy titled, Catheter Drainage Bag and Tube Maintenance, undated, revealed it the policy of the facility to provide resident care that meets the psychosocial, physical, and emotional needs of the residents and a privacy bag/covered bag is an outer covering made from cloth Page 1 of 2 366096 366096 07/17/2023 Salem West Healthcare Center 2511 Bentley Drive Salem, OH 44460

F 0550 or disposable materials that provides for dignity for the resident and prevents the spread of infection. Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few 366096 Page 2 of 2