Failure to Maintain Confidentiality of Resident Medical Records
Penalty
No penalty information released
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
A deficiency occurred when an LPN left a resident's electronic medical chart open and unattended on a medication cart in the hallway while administering medication in the resident's room. This allowed the resident's personal and medical information to be visible and accessible to unauthorized individuals. The LPN acknowledged during an interview that the chart was left open and unattended. Review of the facility's policy on maintenance of electronic clinical records confirmed that resident-identifiable information should not be accessible to unauthorized persons and must be protected in accordance with acceptable standards of practice.