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F0557
D

Failure to Maintain Resident Privacy During Personal Care

Des Moines, Iowa Survey Completed on 05-07-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

Staff failed to maintain privacy and dignity for a resident who required assistance with personal care, including toileting, bathing, and dressing. During the provision of care while the resident was lying in bed, both upper and lower areas of her body, including her breasts, buttocks, and genitals, were exposed. The window blinds in the resident's room were left open, and the window faced a parking lot, making it possible for people outside to see into the room. This was observed during care by two CNAs, and a car parked nearby with a person exiting, although the person did not approach the window. The resident, who had diagnoses including bipolar disorder and muscle weakness, was cognitively intact and able to communicate her concerns. She reported that staff often left the blinds open during care, which compromised her privacy. Facility leadership, including the LNHA and DON, acknowledged the issue as a violation of dignity and resident rights. The facility's policy required staff to maintain privacy during care, including closing doors or drawing curtains or blinds, but this procedure was not followed in this instance.

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