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F0557
D

Failure to Maintain Resident Privacy and Dignity During Wound Care

San Antonio, Texas Survey Completed on 11-24-2025

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 maintain resident privacy and dignity during wound care for two residents. In one instance, a resident with Type 1 Diabetes and Peripheral Vascular Disease, who was cognitively intact, received wound care in a shared room without the door, blinds, or privacy curtain being closed, while the roommate was present. The resident reported that privacy was inconsistently provided and expressed feeling neglected. The Assistant Director of Nursing (ADON) acknowledged that the privacy curtain should have been used and admitted not considering the resident's preference due to familiarity with the roommate. In another case, a resident with Vascular Dementia, Type 2 Diabetes, and Aphasia, who had severely impaired cognitive skills, underwent wound care in a private room where the blinds were not closed, although the door was shut. The LPN involved stated that full privacy measures, including closing doors, curtains, and blinds, were expected but not followed. Both the ADON and Director of Nursing (DON) confirmed that privacy should always be provided during care, regardless of the resident's ability to communicate discomfort, and recognized that the failure to do so could compromise resident dignity.

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