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F0914
E

Failure to Maintain Privacy Curtains in Shared Bedroom

Hamlet, North Carolina Survey Completed on 12-18-2025

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 deficiency involves the facility’s failure to provide required privacy curtains in a shared bedroom, preventing residents from having visual privacy when needed. Record review showed that one resident, cognitively intact and generally independent with personal care given set-up and supervision, had been without privacy curtains in her room for an extended period. Surveyor observations on two consecutive days confirmed that no privacy curtains were present in the resident’s room. The resident reported that the curtains had been missing for about seven to eight months and stated that, although she performed personal care in the bathroom, she previously used the privacy curtain for privacy from her roommate when visitors were present or when she was resting in bed. Staff interviews revealed that direct care staff and a medication aide who routinely provided care and medications to the resident had not noticed the absence of privacy curtains. Review of the medical record showed an order to wash all clothes, bed linens, coats, and blankets in hot water for a skin infection, and the Environmental Services Manager stated that when privacy curtains were removed for laundering, a fresh set should be put up the same day. He recalled that the resident’s privacy curtains had been removed for laundering due to a skin infection and admitted he forgot to have a new set installed. The Administrator, who had been in the facility for five weeks, stated she would have expected same-day replacement of curtains when removed for laundering and noted that daily room rounds were reportedly completed by multiple management team members, yet the missing curtains had not been identified.

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