Resident Left Undressed and Exposed, Dignity Not Maintained
Penalty
Summary
A deficiency occurred when a resident with moderate to mild cognitive impairment, anxiety, mood disturbance, and dementia was left lying in bed wearing only a brief, with the door to his room wide open for an extended period of time. Multiple staff members, including nursing assistants, an activity aide, a social worker, a registered nurse, and other facility personnel, walked past the resident's room without addressing his lack of clothing or closing the door. The resident was not provided with any activities of daily living (ADL) assistance, such as dressing, repositioning, or incontinence care, from the start of the shift until after 11:00 a.m., despite being assigned to a nursing assistant. The resident was observed calling for help and later stated he would not want others to see him only in his brief. Staff interviews confirmed that leaving a resident exposed in only a brief with the door open is a dignity concern and should not occur. The facility's policies on resident dignity and activities of daily living require staff to maintain or enhance each resident's dignity and provide appropriate care. Despite these policies, the resident was repeatedly left exposed and undressed, with staff acknowledging the lapse in maintaining the resident's privacy and dignity.