Failure to Ensure Resident Privacy and Dignity During Personal Care
Penalty
Summary
Staff failed to provide dignified and private care to multiple residents during personal care activities. For one resident with severe cognitive impairment, dementia, and Down's syndrome, staff provided incontinent care and changed briefs without closing the privacy curtain or window blinds, leaving the resident exposed to the exterior patio and walkway. The resident was also observed in the dining room with her shirt open, exposing her left side. Staff acknowledged that a blanket was sometimes used to cover the resident due to arm movements that could expose her skin. Another resident with severe cognitive impairment, dementia, and a history of behavioral issues was assisted with toileting by two CNAs. Although staff reassured the resident about privacy, they failed to close the window drapes or shades in the bathroom, which was in direct line of sight from the exterior walkway and courtyard. The resident expressed concern about being undressed in public, but staff proceeded without ensuring full privacy. A third resident received suprapubic catheter care in her room with the blinds half up, allowing visibility from other resident rooms. Staff exposed the resident's lower abdomen and performed catheter care without closing the blinds. In each case, the facility's own dignity policy required staff to treat residents with respect and provide care in a manner that maintains or enhances quality of life, including ensuring privacy during personal care. Administrative staff confirmed that the expectation was for staff to provide privacy during such activities.