Failure to Maintain Resident Privacy and Dignity During Personal Care
Penalty
Summary
Surveyors identified that the facility failed to provide privacy and dignity for three residents out of seven reviewed for dignity. One resident with moderate cognitive impairment and multiple diagnoses, including dementia and depression, was observed to have noticeable facial hair under her chin. The resident stated that staff had previously addressed this issue and expressed a desire for staff to remove the facial hair. An LPN confirmed the presence and visibility of the facial hair. Another resident with severe cognitive impairment and a history of stroke and diabetes was observed sitting in a lounge area wearing a thin hospital gown, pants, and shoes. The gown was so worn that the resident's breast was visible through the fabric, and several other residents were present in the area. A CNA confirmed the visibility of the resident's breast and stated she was unaware of how long the resident had been exposed in this manner, noting that the resident had no other clothes available at the time. A third resident, who required substantial assistance with personal hygiene due to multiple medical conditions, was observed lying in bed with the door wide open while a CNA applied deodorant under his arms. The resident's chest was exposed, and the open door allowed direct view from the hallway. The CNA acknowledged that the resident was exposed with the door open, and the resident confirmed that privacy was not maintained during this care activity.