Failure to Maintain Resident Dignity and Privacy
Penalty
Summary
Staff failed to protect the dignity and privacy of three residents through several observed actions. One resident was transported from his room to the shower room in a shower chair covered only with a white sheet, leaving his buttocks exposed as he was wheeled past the dining area where other residents were present. Staff interviews confirmed that this method of transport was not appropriate or dignified, and that residents were typically moved in their wheelchairs, fully clothed or covered. Additionally, staff repeatedly entered the rooms of three residents without knocking, introducing themselves, or waiting for acknowledgment. Observations showed staff opening closed doors and entering rooms while residents were present, sometimes during interviews, without following proper protocols for privacy and respect. Multiple staff members, including CNAs and nurses, acknowledged in interviews that the expected practice was to knock, introduce themselves, and await acknowledgment before entering a resident's room. The facility's policy also documented residents' rights to dignity, respect, and privacy.