Failure to Maintain Resident Dignity and Privacy During Care
Penalty
Summary
The facility failed to maintain resident dignity and privacy for two residents. In the first instance, a resident with cerebral palsy, epilepsy, and neuromuscular dysfunction of the bladder was observed with an indwelling urinary catheter collection bag that was full of urine and not covered by a dignity bag, as required by the resident's care plan. The collection bag was visible from the hallway, and the unit manager confirmed that dignity covers should be used but was unaware why it was not in place for this resident. In the second instance, a resident with hemiplegia, cerebral infarction, type 2 diabetes, and severe cognitive impairment received an insulin injection in the abdomen from an LPN while seated in her wheelchair next to the medication cart in the hallway. Multiple residents and staff were present and could see the procedure. The LPN acknowledged that privacy was not provided and that the injection should have been administered in the resident's room. Both the DON and the facility administrator confirmed that staff are expected to provide privacy and treat residents with dignity during care.