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Based on medical record review, policy review, and interview, the facility failed to ensure nursing provided Foley catheter care in accordance with the facility's policy for one (Patient #5) of six medical records reviewed for Foley catheter care. The facility identified 13 patients with Foley catheters. The facility census was 50.

Findings include:

Review of the facility's Urinary Catheter Management policy revised 01/01/24 revealed the facility would clean around the area where the catheter enters urethral meatus and the catheter every shift with care wipes.

Patient #5 was admitted to the facility on 02/12/24 and discharged to an acute care hospital on 02/26/24. Patient #5 had a Foley catheter in place at admission.

Further review of the medical record revealed Patient #5 catheter care was provided on 02/19/24 at 8:00 PM. There was no documentation to show catheter care was completed during the morning of 02/19/24. Further review revealed catheter care was provided on 02/20/24 at 4:37 AM and 8:00 AM. There was no documentation to show catheter care was completed during the evening of 02/20/24.

Interview on 03/13/24 at 2:18 PM with Staff A verified there was no documentation to show catheter care was completed during the morning of 02/19/24 or the evening of 02/20/24.

This deficiency represents non-compliance investigated under Complaint Number OH00151662.

Based on medical record review and interview, the facility failed to ensure the care plan for one (Patient #3), of 10 patients reviewed, was followed regarding the removal of an Intravenous (IV) site at discharge. The facility's active census at the time of the survey was 50.

Findings include:

Patient #3 was admitted to the facility on 01/04/24 and discharged on 01/24/24.

Patient #3 had a 22 gauge peripheral IV site placed on 01/18/24 at 7:30 PM by Staff K. The IV site was removed automatically from the medical record at discharge on 01/24/24 at 4:33 PM. There was no documentation showing the IV had been removed from Patient #5 upon discharge.

Review of Patient #3's care plan revealed interventions in place to monitor all insertions sites, indwelling lines, tubes, and drains and obtain an order to remove device when no longer clinically necessary.

Interview on 03/12/24 at 3:19 PM with Staff I revealed Staff I was unable to recall Patient #3's discharge and was unable to recall if Patient #3's IV had been removed prior to discharge.

Interview on 03/12/24 at 11:30 AM Staff A verified there was no documentation contained in Patient #3's medical record to show Patient #3's IV was removed prior to discharge.

This deficiency represents non-compliance investigated under Complaint Number OH00150580.