Failure to Provide Visual Privacy During Personal Care
Penalty
Summary
Staff failed to maintain the dignity and privacy of a resident with moderate intellectual disability, epilepsy, chronic kidney disease, and anxiety disorder. The resident, who had severe cognitive impairment and required assistance with activities of daily living, was observed receiving personal hygiene and incontinent care from a CNA while the privacy curtain was not pulled and the window blinds were open. This allowed full visual observation of the resident, who was wearing only a brief, by anyone in the hallway, anyone entering the room, and the resident's roommate. During the incident, the CNA acknowledged not providing privacy by failing to pull the curtain and stated that he should have done so. Both the Administrator and DON confirmed in interviews that privacy curtains are expected to be pulled to encircle the resident's bed during ADL care. The lack of privacy during care was directly observed and confirmed by staff interviews.