Failure to Maintain Resident Dignity During Room Entry
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 was identified when an LPN failed to knock or announce herself before entering a resident's room during incontinence care, despite facility policy requiring staff to knock and request permission prior to entry. The incident occurred in a shared room with two residents present. The resident involved had multiple diagnoses, including Parkinson's disease, dementia, a stage 4 sacral pressure ulcer, heart disease, bladder dysfunction, hypertension, gastrostomy status, and a psychotic disorder. The resident was noted to be cognitively impaired and dependent on staff for all activities of daily living and transfers. The LPN acknowledged forgetting to knock when interviewed at the time of the incident.