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F0550
D

Failure to Ensure Resident Dignity and Privacy During Bathroom Use

Bartlesville, Oklahoma Survey Completed on 08-14-2025

Penalty

No penalty information released
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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

Staff failed to honor a resident's right to dignity and privacy when a certified nurse aide (CNA) and two nurse aide students entered a resident's room while the resident was using the bathroom. Although the CNA knocked and greeted the resident, they did not inform the resident that two students would also be entering. The resident was on the toilet with the bathroom door open and became visibly upset when they saw the group enter, expressing anger and requesting that the students leave. The resident continued to express distress about the incident for the remainder of the day and threatened to contact the state regarding the event. Facility policy required staff to knock and identify themselves before entering a resident's room, and the CNA had acknowledged and completed training on this policy. Despite this, the CNA admitted to not providing adequate privacy or treating the resident with dignity during the incident. The Director of Nursing (DON) confirmed that the CNA and students entered without properly informing the resident, which was inconsistent with facility training and expectations regarding resident rights.

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