Failure to Provide Privacy During Resident Care
Penalty
Summary
Staff failed to provide privacy during care for two residents. In one instance, a registered nurse entered a resident's room immediately after knocking, without waiting for a response, while a certified nurse aide was applying an incontinent brief. The resident was unclothed, the privacy curtain was not drawn, and the resident was visible from the hallway. The resident's clinical record indicated diagnoses including schizophrenia, diabetes, depression, and muscle weakness, and the resident was cognitively intact and frequently incontinent. In another case, a resident with multiple diagnoses, including diabetes, Alzheimer's disease, dementia, and a stage three pressure ulcer, was receiving a pressure ulcer treatment. During the procedure, another nurse entered the room without knocking, and the resident's buttocks were visible from the hallway. The room did not have a privacy curtain, and staff were unsure why it was missing. The facility's dignity policy required staff to promote and maintain resident privacy, including knocking and requesting permission before entering rooms.