Failure to Provide Privacy During Personal Care and Medication Administration
Penalty
Summary
Surveyors identified that staff failed to provide adequate privacy during personal care for two residents. In the first instance, a resident with severely impaired cognition and limited mobility was observed having their covers and underwear removed and being placed on a bedpan by an LPN, while the door to the room was open and the privacy curtain was not drawn. This left the resident exposed and visible to people passing by in the hallway. The LPN confirmed during an interview that the door was open during care, acknowledging the privacy issue. In the second instance, a resident with moderately impaired cognition and a feeding tube was observed receiving medication via a PEG tube from the ADON. During this procedure, the resident's shirt was raised, the door was open, the privacy curtain was not drawn, and the blinds were raised, making the resident visible to staff and other residents outside the room and in the dining area. The ADON confirmed she did not close the door or blinds. The DON stated that staff are expected to close doors, pull curtains, and close blinds to protect resident privacy, and that failure to do so is a dignity issue. Facility policy also states that residents have the right to be treated with dignity and respect.