Health inspection·May 24, 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, interview, and record review the facility failed to promote care for residents in a manner and in an environment that maintained or enhanced each resident's dignity for 1 of 4 (Resident #34) residents reviewed for dignity in that: The facility failed to ensure Resident #34's urinary drainage bag had a dignity/privacy cover while out of his room. This deficient practice could place residents in the facility at risk for a diminished quality of life, loss of dignity and self-worth. Findings: Record review of facility face sheet dated 5/23/2023 indicated Resident # 34 was admitted on [DATE] with diagnosis aftercare following digestive system surgery, urinary tract infection, and obstructive uropathy (blockage of urinary tract). Record review of Quarterly MDS dated [DATE] indicated Resident # 34 had a BIMS of 11 indicating moderately impaired cognition and required indwelling urinary catheter. Record review of care plan with review date of 05/01/2023 indicated Resident # 34 had an indwelling foley catheter, and approach was to position catheter bag in a privacy bag. Record review of order summary report dated 5/23/2023 indicated Resident # 34 had an order dated 10/08/2022 to ensure foley catheter bag was in a privacy bag while in bed or wheelchair. During an observation on 05/22/23 at 11:52 AM Resident # 34 was lying in bed with a foley catheter attached to bedframe. The catheter drainage bag was without a privacy cover. During an observation on 05/23/23 at 9:48 AM Resident # 34 was ambulating in the hallway with COTA and rehab director using a walker. His foley catheter drainage bag was attached to the walker with dark yellow urine in the bag without a privacy covering. During an interview on 05/23/23 at 9:59 AM Resident # 34 stated he was not aware his catheter bag had to be covered but could see how that would be important to protect his privacy. He had nothing further to comment regarding his catheter. Page 1 of 2 676172 676172 05/24/2023 Groveton Nursing Home 1020 W 1st St Groveton, TX 75845

F 0550 Level of Harm - Minimal harm or potential for actual harm During an interview on 05/23/23 at 10:25 AM the COTA stated that a residents privacy and dignity was maintained by not discussing their health openly, closing doors, and pulling privacy curtains. She stated foley catheter drainage bags should also be covered to maintain resident privacy and dignity. She stated she had been trained on privacy covering of catheter bags and should have put a cover on the walker before getting Resident # 34 up to walk. She stated that by not covering it could affect a residents dignity. Residents Affected - Few During an interview on 05/23/23 at 2:12 PM the rehab director stated that resident privacy and dignity was maintained by protecting resident information. She stated that Resident # 34's catheter drainage bag should have been covered when he was up walking with therapy in the hallway. She stated she had been trained on dignity and that by not covering the bag it could cause the resident embarrassment. She stated she would make sure there was a privacy cover for future therapy sessions. During an interview on 05/23/23 at 2:20 PM LVN B stated that when a resident has a urinary catheter they are to have a privacy cover over the drainage bag and the nurse was responsible for monitoring that it was there. She stated when she last checked he had a privacy bag on his bed and wheelchair but was not aware Resident #34's drainage bag was exposed during therapy. She stated the drainage bag is covered for dignity and privacy reasons and if it was not covered it could cause resident embarrassment. During an interview on 05/23/23 at 2:22 PM the DON stated she was responsible for all nursing oversight and expects that residents with an indwelling catheter to have a privacy cover in place at all times. She stated all staff had been trained on privacy and dignity. She stated by not covering the drainage bag it could affect the residents dignity. During an interview on 05/24/23 at 8:25 AM the administrator stated that she was responsible for ensuring privacy and dignity for all residents at the facility. She stated all staff are trained on resident rights on hire, annually, and as needed. She stated the risk of not maintaining a residents dignity could be belittlement. She stated here expectation was that all residents rights are honored, and dignity maintained. Record review of the facility's policy titled Resident Rights dated 11/28/2016 indicated, .facility must treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life. 676172 Page 2 of 2