Resident Left Exposed During Wound Care
Penalty
Summary
Facility staff failed to ensure resident dignity during wound care treatment for one resident. During hygiene and wound care, both a nurse aide and a licensed nurse left the resident's room at the same time, leaving the resident exposed on a raised bed. While the resident was left unattended and exposed, a maintenance staff member entered the room. The resident's care plan indicated the bed should be in the lowest position when care is not being provided, and facility policy required staff to maintain and protect resident privacy, including bodily privacy during treatment procedures. The resident involved had a medical history including unspecified intellectual disabilities, a non-pressure chronic ulcer of the back, muscle wasting and atrophy, orthostatic hypotension, and heart failure.