Failure to Ensure Resident Privacy During Incontinent Care
Penalty
Summary
On 07/30/2025, two staff members, CNA A and RA B, provided incontinent care to a resident who was moderately cognitively impaired, always incontinent of bladder, and frequently incontinent of bowel. During this care, the privacy curtain in the resident's shared room was not completely closed, leaving the resident exposed to view if someone entered the room. The curtain was observed to be folded on one end and too short to fully close, and the resident's roommate was present in the room at the time. Both staff members acknowledged during interviews that the privacy curtain was not fully closed and stated they had not noticed the curtain's inadequate length prior to the incident. The facility's policy requires maintaining privacy curtains for dressing and care, and staff had received training on resident rights within the past year. The Director of Nursing confirmed that privacy should have been provided during care and that the curtain should have been completely closed.