Failure to Provide Privacy and Proper PPE During Resident Care
Penalty
Summary
A deficiency occurred when staff failed to provide privacy during incontinence care for a resident with multiple complex medical conditions, including Type 2 Diabetes Mellitus with Hyperglycemia, Acute Kidney Failure, Dependence on Renal Dialysis, Gastrostomy, Hypertensive Heart Disease, Shaken Infant Syndrome, Cerebral Palsy, Epilepsy, Abnormalities of Gait and Mobility, Polycystic Ovarian Syndrome, and Blindness in both eyes. The resident's MDS BIMS indicated that the resident was rarely or never understood. During an observation, a staff member was seen adjusting the resident's brief with the door and privacy curtain open, and the roommate's privacy curtain also open, exposing the resident during care. The staff member did not wear the required gown while providing care, despite Enhanced Barrier Precaution signage at the room entry. The staff member acknowledged that privacy should have been provided and that appropriate PPE, including a gown and gloves, should have been used. Facility policy requires staff to provide privacy and maintain resident dignity during care, but these procedures were not followed during the observed incident.