Failure to Maintain Confidentiality of Medical Records
Penalty
No penalty information released
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Summary
The facility failed to maintain the confidentiality of residents' personal and medical records when a Medication Administration Record (MAR) binder was left open and unattended on a medication cart in the west wing hallway. The open binder, which contained information on residents' prescribed medications and administration times, was visible to anyone passing by, including staff and visitors. This lapse occurred when an LVN stepped away from the cart to put away laundry, leaving the MAR binder exposed. Both the LVN and the Director of Nursing acknowledged that the MAR binder should not have been left open and unattended. The facility's medical records policy was requested but not provided by the time of the survey exit.