Amarillo Center For Skilled Care

F 0550 An interview with Resident #3 was unsuccessful due to her unresponsiveness and end-of-life circumstances.

Level of Harm - Minimal harm or An interview with Resident #3's RR on 04/01/2025 at 1:33PM reflected Resident #3 had not had a cover on potential for actual harm her catheter bag since Friday, March 28th when she started Hospice services. The RR stated Resident #3 would be so embarrassed if she knew the bag was hanging from the bed with no covering. Resident #3's RR Residents Affected - Some stated the communication in the facility had been less than helpful. She had asked 2 unnamed CNAs if they could get privacy covers for the bag over the weekend, but neither had returned with the covers.

Record review of Resident #3's physician orders dated 03/16/2025 revealed the following: Resident to be bed bound due to pain/end-of-life, two times a day for Hospice/end-of-life related to Sepsis, Unspecified Organism.

Ensure Foley bag is in privacy bag while in bed or wheelchair every shift related to Neuromuscular Dysfunction of Bladder, Unspecified.

Record review of the facility's undated policy for Resident Rights did not reflect written policy for the use of regular China and utensils or privacy bags over catheter bags.

FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 4 of 4 676347