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F0550
D

Resident Exposed While Outside, Dignity Not Maintained

Tybee Island, Georgia Survey Completed on 07-31-2025

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

Certified Nursing Assistants (CNA) II and CNA JJ were observed pushing a resident in a geriatric chair outside of the facility. The resident was wearing a hospital gown that was pulled up above his stomach, with a blanket folded across his chest, leaving his legs and lower torso exposed. This exposure revealed the resident's brief and bandages on his right leg stump. The observation took place in an area visible to construction workers and passing cars on a nearby street. During concurrent interviews at the time of the observation, both CNAs confirmed that they did not ensure the resident's body was properly covered and acknowledged that they should have done so. The Director of Nursing (DON) later confirmed that staff are expected to ensure residents are properly dressed and not exposed, and agreed that this incident constituted a dignity issue. The facility's policy on promoting and maintaining resident dignity requires all staff to provide care in a manner that maintains or enhances each resident's quality of life and respects their rights.

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