Failure to Ensure Resident Privacy and Dignity During Group Showering
Penalty
Summary
The facility failed to protect a cognitively intact resident’s right to privacy and dignity during bathing. The facility’s Resident Rights and Quality of Life Policy stated that all residents had the right to a dignified existence and were to be treated with consideration of their dignity, including privacy in treatment and care for personal needs. Resident #49’s Minimum Data Set, with an Assessment Reference Date of 11/13/2025, showed a Brief Interview for Mental Status score of 15, indicating the resident was cognitively intact and required assistance for showering and bathing. On 01/07/2026 at 9:35 AM, surveyor observation revealed that six residents (Residents #16, #29, #49, #106, #108, and #113) were all in Shower Room C at the same time, and Resident #49 was unclothed in the shower being assisted by S7 Certified Nursing Assistant. At 9:36 AM, the door to the shower room opened and S6 Certified Nursing Assistant brought Resident #22 into the same shower room. During an interview at 9:40 AM, Resident #49 stated she was not comfortable showering in Shower Room C with the other residents present. In subsequent interviews, S6 Certified Nursing Assistant, the Assistant Director of Nursing, and the Director of Nursing all acknowledged that the number of residents in Shower Room C at the same time did not allow for resident privacy and that Resident #49 was out of her comfort zone with the number of residents present while she was showering.
