Failure to Provide Privacy During Incontinent Care
Penalty
Summary
Certified Nursing Assistants (CNAs) H and I failed to provide adequate privacy for a resident during incontinent care by not fully closing the privacy curtain. This lapse occurred while the resident, who had a history of vascular dementia, schizoaffective disorder, hypertension, type 2 diabetes mellitus, and irritable bowel syndrome, was receiving perineal care. The resident's care plan included interventions for impaired skin integrity and required proper incontinence care due to a history of excoriation and consistent incontinence of bowel and bladder. During the observed care, the privacy curtain remained open, allowing the resident to be visible to his roommate and potentially to anyone entering the room. Both CNAs acknowledged during interviews that they had not closed the curtain and admitted to forgetting due to nervousness, despite having received resident rights training within the past year. The Director of Nursing confirmed that privacy should have been maintained during care, as outlined in the facility's resident rights policy.