Failure to Maintain Functional Privacy Curtains in Shared Rooms
Penalty
Summary
The deficiency involves the facility’s failure to provide functional ceiling-suspended privacy curtains in shared resident rooms, resulting in a lack of full visual privacy for two residents. For Resident 1, review of the admission record showed diagnoses including anxiety disorder, paranoid schizophrenia, muscle wasting and atrophy, and lack of coordination. A History and Physical dated 10/9/2025 documented that Resident 1 did not have capacity to understand and make decisions, while an MDS dated 10/16/2025 indicated the resident usually could understand and be understood and required partial/moderate assistance with ADLs such as toileting hygiene, showering, lower body dressing, transfers, and walking. During an observation and interview on 2/10/2026 at 1:50 p.m., CNA 1 stated that Resident 1’s curtain was short, did not close completely, and did not provide enough privacy, allowing another resident to walk in and see the resident being changed. CNA 1 stated the short curtain could not offer full privacy and that it was the facility’s responsibility to ensure full privacy. For Resident 2, the admission record showed diagnoses of muscle weakness and hypertension, and an H&P dated 5/23/2025 indicated the resident did not have capacity to understand and make decisions. An MDS indicated Resident 2 usually was able to understand and be understood and was dependent for ADLs including eating, personal hygiene, toileting hygiene, showering, dressing, footwear, and transfers. During an observation and interview on 2/11/2026 at 1:18 p.m., LVN 2 reported that Resident 2’s curtain was shortened, did not provide enough privacy, and that the curtain strings appeared tangled; LVN 2 did not know how long the curtain had not been functional and stated that not having full privacy with the curtain placed the resident at risk of being exposed to other residents. Review of the facility’s policy titled “Resident Rooms,” dated 1/2025, showed that resident bedrooms must be designed and equipped for comfort and privacy and that all resident bedrooms will be equipped to assure full visual privacy, including ceiling-suspended curtains extending around each bed in non-private bedrooms. The observed conditions for Residents 1 and 2 did not meet this policy requirement.
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