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F0550
D

Resident Left Uncovered in Dining Room, Dignity Not Maintained

Des Moines, Iowa Survey Completed on 09-03-2025

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 resident with severe intellectual disability and schizoaffective disorder, who had moderately impaired cognition and required partial to moderate assistance with lower body dressing, was observed sitting in a dining room chair with her buttocks fully exposed. The resident's care plan indicated a need for assistance with activities of daily living, including dressing, and directed staff to provide one-person assistance for dressing. Despite these documented needs, the resident was left exposed in a public area where nine other residents, including a male resident facing her, were present. Multiple staff members, including four who were waiting to serve food, walked past the resident without addressing her exposed state. The resident remained uncovered for at least eight minutes until a certified medication aide placed a blanket to cover her. Facility policy required all residents to be treated with dignity and privacy, ensuring they are appropriately dressed to maintain bodily privacy. The failure of staff to promptly cover the resident resulted in a lack of dignity and privacy for the resident.

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