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F0550
D

Failure to Maintain Resident Dignity During Wound Care

Brackenridge, Pennsylvania Survey Completed on 06-26-2025

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 was identified when a registered nurse (RN) provided wound care to a resident diagnosed with Alzheimer's disease, anxiety, and depression, who had developed a pressure ulcer on the right heel. During the wound care observation, the RN wrote on the dressing after it had already been placed on the resident's heel. The RN later confirmed that this action failed to maintain the resident's dignity, as required by facility policy and resident rights outlined in the admission agreement. The incident was documented as a failure to provide care in a manner that maintains resident dignity, in violation of state regulations.

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