Failure to Ensure Resident Privacy During Incontinent Care
Penalty
Summary
Certified Nursing Assistants (CNAs) C and D failed to ensure complete privacy for a resident during incontinent care. On the observed date, the privacy curtain in the resident's room was not fully closed, leaving the end of the bed uncovered and exposing the resident's genital area. The curtain was noted to be too short to provide full coverage, and a housekeeper began to enter the room during care before being stopped by the surveyor and the CNAs. Both CNAs acknowledged that the curtain was not completely closed and stated that the curtain had recently been changed, resulting in inadequate coverage. The resident involved had multiple medical conditions, including a non-traumatic acute subdural hemorrhage, dysphagia, prostate cancer, type 2 diabetes mellitus, hypertension, and depression. The resident was moderately cognitively impaired, required extensive assistance with activities of daily living, and was always incontinent of bowel and bladder. The care plan required incontinent care every two hours and as needed, with privacy to be maintained during care. Both the CNAs and the facility administrator confirmed that staff had received training on resident rights, including the right to privacy.