Confidentiality Breach of Resident Medical Information
Penalty
Summary
The facility failed to maintain the confidentiality of residents' medical information as required by their policy. During an observation, the 2A Medication Cart was left unattended outside a resident's room with the computer screen open, displaying identifiable personal and confidential information. This lapse was confirmed by Registered Nurse Employee E1, who acknowledged the failure to secure the residents' medical information. The facility's policy, dated 12/3/24, emphasizes the importance of securing and maintaining the confidentiality of residents' personal and medical records, regardless of the form of storage or location.
Plan Of Correction
Audits of medication carts completed to ensure no additional carts were left unattended or computer screens were open. Education will be provided to the nurses on confidentiality of personal and medical records and computer screens not being opened by DON or designee on or before 2/18/2025. Audits will be conducted on locked carts weekly and computer screens being closed x 4 weeks and monthly x 1 month on various shifts. Audit results will be reviewed through the monthly QAPI process/meeting.