Failure to Maintain Resident Dignity and Privacy During Care
Penalty
Summary
The facility failed to protect the dignity and privacy of three residents during care activities. For one resident with Alzheimer's Disease and severely impaired cognitive skills, two CNAs provided incontinence care with the window curtain open, exposing the resident's perineal area to the facility's front yard, porch, parking lot, and sidewalk. The staff did not notice the open curtain during the care. Another resident, who was cognitively intact and had a urinary tract infection, was observed with an uncovered catheter drainage bag containing clear yellow fluid, and the assigned CNA acknowledged awareness of the missing cover but was unaware of the reason for its necessity. Additionally, a third resident with senile degeneration of the brain was assisted with eating by a CNA who stood over the resident rather than sitting at the resident's side, as required for respectful feeding assistance. The CNA stated she stood because there was no chair available and was unaware of the expectation to be seated during meal assistance. The facility's policies and audit tools require privacy and dignity to be maintained during care, including closing window curtains and covering catheter bags, but these were not followed in the observed instances.