The citation fell under infection control deficiencies, the regulatory category covering how a facility prevents and manages the spread of infectious disease.
Nursing Home News — Page 214
All Stories
The resident, identified in inspection records as Resident R8, was supposed to have an air mattress held in place by six straps.
The citation was classified as an isolated deficiency with no actual harm documented, but with potential for more than minimal harm to residents.
The deficiency, tagged F0690, was classified as causing minimal harm or potential for actual harm, and affected a small number of residents.
The violation fell under a category regulators call Resident Assessment and Care Planning Deficiencies.
By July 9, the wound had become a Stage II pressure ulcer.
That is what federal inspectors found at Rest Haven Health and Rehabilitation in September.
The inspection, triggered by a complaint, found the facility had failed to keep residents' personal and medical records private and confidential.
Inspectors assigned it a scope and severity level that indicates the problem was not isolated to a single incident or a single day.
The resident at the center of the complaint is identified in inspection records only as Resident 1.
The violation falls under what regulators classify as resident rights deficiencies.
The discharge summary prepared by the facility made no mention of the catheter at all.