Failure to Maintain Resident Privacy During Perineal Care
Penalty
Summary
The facility failed to maintain a resident’s privacy during perineal care, contrary to its Perineal Care Policy and Procedure dated 11/17/2015, which required that the resident’s door and privacy curtain be closed during such care. On 02/09/2026 at 12:28 PM, two CNAs (S2CNA and S3CNA) provided perineal care to Resident #1 without closing the privacy curtain, resulting in the resident’s buttocks being exposed to the roommate. During the same episode of care, a random resident walked into the room, and Resident #1’s buttocks remained exposed because the door and privacy curtain were not closed. In a subsequent interview at 2:10 PM, S2CNA acknowledged that she did not close the door or privacy curtain while performing perineal care and stated that she should have done so. In a separate interview at 2:12 PM, the Director of Nursing (S1) indicated that both CNAs should have closed the resident’s door and/or privacy curtain while performing the perineal care.
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