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F0583
E

Failure to Protect Resident Privacy Due to Display of Personal Care Signage

San Marcos, Texas Survey Completed on 04-17-2025

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

The facility failed to ensure the privacy and confidentiality of personal and medical information for three residents by displaying personal care and medical treatment signage in their rooms. Observations revealed that signage with specific care instructions, such as reminders to apply barrier cream and position cushions, was hung on the walls behind the residents' beds. These signs were visible in the rooms and contained information about the residents' care needs, which was intended for staff but was also visible to others entering the room. Interviews with the affected residents indicated that they were uncomfortable with the signage. One resident expressed that the signs made her feel uncomfortable and that she had previously discussed her concerns with staff, who told her the signs were necessary for care. Another resident stated she would prefer the signage not be present and felt staff should know her care needs without such reminders. A third resident reported feeling unimportant and unwelcome due to the signage, and although she had raised the issue with staff, she was told it was necessary for staff communication. Staff interviews confirmed that the signage was used to remind staff, especially those not regularly assigned to the facility, of specific care needs. While some staff acknowledged that the signage could negatively affect residents' sense of dignity and privacy, they also stated that they had not received formal complaints. Facility policies reviewed indicated that residents have the right to privacy, dignity, and self-determination, and that staff are to be educated on these rights. Despite this, the practice of posting personal care instructions in resident rooms was observed and reported by both residents and staff.

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