Health inspection·April 23, 2024

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 review of facility policy, clinical records, observation, and staff interview it was determined that the facility failed to uphold the privacy and dignity by not providing a privacy curtain for one of 25 residents reviewed (Resident 1), and one of two residents utilizing an indwelling urinary catheter (foley - a thin rubber tube inserted either through the urethra or suprapubic [abdomen] to allow for bladder drainage) (Resident R2) . Findings include: Review of the facility policy Promoting/Maintaining Resident Dignity last reviewed 10/2/23, indicated it is facility practice 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. Review of the facility policy Catheter Care, last reviewed 10/2/23, indicated the facility will ensure that residents with indwelling catheters receive appropriate catheter care and maintain their dignity and privacy when indwelling catheters are in use. Privacy bags will be available and catheter drainage bags will be covered at all times while in use. During an observation on 4/23/24, at 10:30 a.m. Resident R1 was observed laying in bed. The privacy curtain was noted to be bunched up and laying on top of the rail by the ceiling of the room. When asked, Resident R1 stated the curtain railing was being fixed and the curtain had not been usable for a week or longer. Review of the clinical record indicated Resident R1 was readmitted to the facility on [DATE], with diagnoses that included high blood pressure, diabetes, and anxiety. Review of the care plan dated 1/18/24, indicated Resident R1 has bladder incontinence and requires assistance with care following incidents. During an interview on 4/23/24, at 12:10 p.m. Registered Nurse Employee E1 confirmed the privacy curtain for Resident R1 was not usable as it was not hanging down from the ceiling. During observations on 4/23/24, at 11:15 a.m. Resident R2 was sitting on the side of the bed with a urinary catheter bag hanging beside her without a privacy bag cover. Review of the clinical record indicated Resident R2 was admitted to the facility on [DATE], with Page 1 of 2 395028 395028 04/23/2024 Squirrel Hill Wellness and Rehabilitation Center 2025 Wightman Street Pittsburgh, PA 15217

F 0550 diagnoses that included urinary tract infection, high blood pressure, and depression. Level of Harm - Minimal harm or potential for actual harm Review of a physician order dated 4/11/24, revealed foley catheter 16 fr (French - catheter size), with catheter care ordered for every shift. Residents Affected - Few Review of the care plan dated 4/12/24, failed to indicate to cover catheter bag with privacy bag. During an interview on 4/23/24, at 12:28 p.m. Licensed Practical Nurse Employee E2 confirmed Resident R2's catheter did not include a privacy bag. During an interview on 4/23/24, at 1:20 p.m. the Nursing Home Administrator confirmed that the facility failed to uphold the privacy and dignity for Resident R1 ' s privacy curtain not being usable and one resident utilizing an indwelling catheter for Resident R2. 28 Pa Code: 201.29 (i) Resident rights. 395028 Page 2 of 2