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F0550
E

Failure to Ensure Resident Dignity During Showering

Okmulgee, Oklahoma Survey Completed on 05-22-2025

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

A deficiency occurred when a resident, who was cognitively intact and independent with activities of daily living (ADLs), was not treated in a dignified manner during showering. The resident, with diagnoses including mononeuropathy, anxiety disorder, and major depressive disorder, reported that a CNA entered the shower room without knocking while the resident was undressed, despite an 'in use' sign being displayed. This incident was not isolated, as the resident stated it had happened about three times before, and the CNA admitted to not noticing the sign or knocking prior to entering. The CNA also acknowledged a previous similar incident, and the resident expressed being upset about the most recent occurrence. Further review revealed that another CNA was aware of the incident but did not report it to the nurse, as required. Resident council minutes also documented concerns about aides entering the shower room without knocking while residents were showering. The administrator confirmed there was no specific facility policy regarding dignity, stating only that resident rights were followed. These actions and inactions resulted in a failure to ensure the resident's right to dignity and privacy during personal care.

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