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F0550
D

Failure to Provide Privacy and Dignity During Personal Care

Hales Corners, Wisconsin Survey Completed on 02-19-2026

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

Surveyors identified a deficiency related to resident dignity and privacy when a CNA provided personal care to one resident without closing the room door or drawing the privacy curtains. The resident, identified as R3, had been admitted with diagnoses including dementia and age-related osteoporosis, and had a Brief Interview for Mental Status (BIMS) score of 7 out of 15, indicating severe cognitive impairment. On 02/19/26 at 5:30 AM, observation from the hallway showed CNA1 at the resident’s bedside performing care while the resident was undressed, with the curtains and door open, making the resident visible from the hallway. During a subsequent interview at 5:37 AM, CNA1 acknowledged that she failed to provide privacy and dignity for the resident by not drawing the curtains and closing the door during care. At 5:40 AM, the nursing supervisor (RN3) stated that her expectation was that CNA1 should have provided privacy and dignity regardless of the time of day. Later, at 6:00 PM, the DON stated it was her expectation that CNA1 should have covered the resident during care. Review of the facility’s undated Admission Agreement showed that the facility committed to ensuring residents’ rights to dignified existence, respect, individuality, consideration, and privacy in treatment and care for personal needs, and to protecting and promoting each resident’s rights.

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