Failure to Provide Privacy During Incontinence Care
Penalty
Summary
A deficiency occurred when a male resident with epilepsy and moderate cognitive impairment did not receive privacy during incontinence care. On the specified date and time, a CNA provided incontinence care to the resident while leaving both the door to the hallway and the privacy curtains open, as confirmed by video observation. This action was in direct violation of the facility's policies on perineal care and personal privacy, which require avoiding unnecessary exposure of the resident's body and protecting privacy during personal care. Interviews with facility leadership, including the Administrator, DON, and ADON, confirmed that the expectation is for doors and curtains to be closed during care to maintain resident dignity. The staff involved in the incident worked the overnight shift on the resident's hallway. The facility's training records indicated that privacy training was provided upon hire, annually, and as needed. The incident was documented, and the staff member involved was subsequently dismissed, but the deficiency itself was due to the failure to provide privacy during care as observed.