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F0550
D

Resident Dignity Compromised During Perineal Care

San Diego, California Survey Completed on 06-24-2025

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

A deficiency occurred when a certified nurse assistant (CNA) provided care to a resident and, during perineal care, held a soiled wipe with bowel movement approximately one to two inches from the resident's face. The resident had requested a brief change due to urination and questioned the CNA about the prolonged cleaning process. In response, the CNA showed the soiled wipe close to the resident's face and stated that the resident had a bowel movement. The resident reported feeling disrespected, humiliated, and uncomfortable, and subsequently requested a different CNA for care. Interviews with facility staff, including a licensed nurse, the assistant director of nursing (ADON), and the director of staff development (DSD), confirmed that the CNA admitted to showing the soiled wipe to the resident because the resident did not believe her. Both the ADON and DSD stated that this action was inappropriate and could be seen as a demeaning practice. Facility policy prohibits demeaning practices and requires staff to promote dignity and respect for residents.

An unhandled error has occurred. Reload 🗙