Failure to Maintain Resident Dignity and Privacy During Care and Room Entry
Penalty
Summary
The deficiency involves failure to honor residents' rights to dignity and privacy during routine care and interactions. One resident, admitted with diagnoses including anxiety and epilepsy and assessed as cognitively intact and frequently incontinent of urine, activated her call light to request assistance with toileting. A social services staff member responded, stood at the edge of the doorway, and loudly called the resident's name down the hallway to inform a nurse that the resident needed to use the bathroom. The resident later stated she hoped no residents or visitors heard the staff member yell about her toileting needs. The DON confirmed that the social services staff member should not have yelled the resident's name down the hall. Facility policy on Privacy/Dignity stated that residents should be treated with dignity. A second cognitively intact resident reported frequent intrusions into her room without permission. During an interview with the surveyor, conducted with the door closed, a CNA entered the room without knocking or obtaining permission, placed a meal tray in the room, and exited. The resident confirmed that staff frequently entered her room without permission and that she felt she had no privacy. The CNA acknowledged that staff were expected to knock and wait to be invited in before entering residents' rooms. The facility's Privacy/Dignity policy, dated 03/12/25, required staff to knock on residents' doors before entering and to treat residents with dignity for all care needs. These incidents were cited as noncompliance under multiple complaint numbers.
