Failure to Ensure Resident Privacy During Incontinent Care
Penalty
Summary
Certified Nursing Assistants (CNAs) A and B failed to ensure personal privacy for a resident during incontinent care. On 04/17/2025, while providing care, the CNAs did not completely close the privacy curtain, resulting in the resident's genital area being exposed. The resident's end of the bed was uncovered, and the resident's roommate was present in the room at the time. Both CNAs acknowledged during interviews that the privacy curtain was not fully closed and confirmed that it should have been. The resident involved had a history of hypertension, asthma, dysphagia, and heart failure, and was moderately cognitively impaired with a BIMS score of 11. The resident was occasionally incontinent of bladder and always incontinent of bowel, with a care plan in place to prevent skin breakdown due to incontinence. The facility's policy on resident rights includes the right to privacy, and both the CNAs and the Director of Nursing confirmed that staff had received training on resident rights within the year.