Resident Exposed During Incontinence Care Due to Failure to Maintain Privacy
Penalty
Summary
A certified nursing assistant (CNA) failed to maintain a resident's dignity and privacy during incontinence care. The CNA was observed changing the resident's incontinence diaper in a shared room with the privacy curtain open, leaving the resident's private areas completely exposed. The CNA was unable to explain the importance of keeping the privacy curtain closed during personal care and responded in a confrontational manner when questioned by the surveyor. A licensed vocational nurse (LVN) was present and confirmed the observation and interview. The resident involved had severe cognitive impairment, was dependent on staff for all activities of daily living, and had diagnoses including dementia, hypertension, and dysphagia. Facility policy and procedures reviewed indicated that all residents are to be treated with dignity and respect at all times, and that privacy must be maintained during personal care. The actions observed were not in accordance with these policies.