Failure to Protect Resident Privacy During Shower
Penalty
Summary
The facility failed to maintain a resident's privacy during showering. The resident, admitted in September 2025 with multiple diagnoses including subacute osteomyelitis of the right ankle and foot, reported that while he was taking a shower and had asked caregivers to leave him alone in the bathroom, staff opened the shower door multiple times. The resident stated he was very upset and distressed when this occurred. The incident involved staff entering the shower room despite the resident's expressed desire for privacy while bathing. Interviews with staff confirmed that the shower room door was opened while the resident was inside. A CNA stated she was walking in the hallway, saw the shower wheelchair outside the room and a sign on the door indicating the shower was in use, but opened the door anyway; the resident immediately began yelling, and she then closed the door quickly, acknowledging that staff should not open the shower door when the sign shows it is in use. An LVN stated she also saw the shower wheelchair in the hallway, thought no one was in the shower room, and opened the door, at which point the resident started to yell and she changed the sign to "in use" and left. The facility’s dignity policy, revised February 2021, states that each resident shall be cared for in a manner that promotes well-being, self-worth, and self-esteem, and that residents’ private space and property are to be respected at all times.
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