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F0557
D

Failure to Maintain Resident Dignity During Personal Hygiene and Toileting

Mandan, North Dakota Survey Completed on 05-15-2025

Penalty

Fine: $12,73525 days payment denial
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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

The facility failed to maintain or enhance the dignity of two residents who required assistance with personal hygiene. For one resident, repeated observations over several days showed the individual seated in a wheelchair with a chest vest positioning device that was soiled with debris, and on one occasion, a white substance was noted on the left side of the resident's mouth and chin. The resident's care plan indicated a need for assistance with dressing, repositioning, and personal hygiene. For another resident, an observation revealed that both the room and bathroom doors were left open while the resident was seated on the toilet and visible from the hallway, with no staff present, despite the care plan indicating the need for assistance with toileting. An administrative nurse confirmed that staff are expected to keep doors closed during resident care.

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