Failure to Maintain Resident Dignity and Privacy
Penalty
Summary
The facility failed to treat a resident in a dignified manner and provide personal privacy. Resident #108, who was admitted with diagnoses including hemiplegia and hemiparesis following a cerebral infarction, was observed on two occasions lying on her bed with the door open, uncovered, and without underwear. The resident was seen playing with her Foley catheter during one of these observations. The resident's Minimum Data Set (MDS) assessment indicated a Brief Interview of Mental Status (BIMS) score of 99, suggesting an inability to complete the interview, and a dependency on assistance for movement in bed. A Certified Nursing Assistant (CNA) interviewed acknowledged the importance of maintaining dignity and privacy, stating that residents should not be exposed and that doors should be closed during care or changing, especially for residents who are not fully conscious.
Plan Of Correction
Boca Circle Rehabilitation Center failed to treat the resident in a dignified manner and provide personal privacy. Actions Taken: 1) On resident #108 was provided with personal privacy during personal care by the C.N.A. Education was initiated on with staff regarding providing dignity and privacy for residents during personal cares. Others Identified: 2) Full house audit was conducted by the DON/Designee on to ensure privacy was being provided during personal care. No other concerns were noted. Measures Taken: 3) Nursing Staff were re-educated on regarding regarding resident rights, dignity and privacy during personal cares and that privacy curtains must be pulled and the door closed so residents are treated in a dignified manner. New staff will receive this education during general orientation. Ongoing Monitoring: 4) Unit Manager or designee will audit personal care and resident right to privacy during personal cares weekly x 4 weeks and then every 2 weeks x 2 months. Audit results will be reviewed in Center QAPI meeting monthly until substantial compliance has been met.