Resident Exposed During Care Due to Staff Entry Without Response
Penalty
Summary
Staff failed to provide dignified care to a resident diagnosed with Parkinson's disease and cognitive impairment, who required assistance with toileting and catheter care. During peri-care, the resident was left uncovered and naked from the waist down while lying on top of his bed. While this care was being provided by a licensed nurse, a certified nurse aide entered the room without waiting for a response, exposing the resident to anyone in the hallway. Interviews confirmed that the certified nurse aide entered the room without awaiting a response, and both the licensed nurse and administrative nurse acknowledged that staff should not enter or exit a resident's room during care when the resident is not covered. The facility's policy on promoting and maintaining resident dignity requires staff to protect each resident's rights with respect and dignity, which was not followed in this instance.