Failure to Maintain Privacy During Blood Glucose Testing
Penalty
Summary
Surveyors identified a failure to maintain resident privacy during medical treatment for one resident. The resident was an elderly female with Type 1 Diabetes Mellitus, admitted in January 2026, with a severe cognitive impairment documented on a quarterly MDS assessment. Her comprehensive care plan included interventions for Diabetes Mellitus, including blood sugar checks per physician orders, and her physician orders directed administration of insulin glargine twice daily. Despite these orders and care plan interventions, her blood sugar testing was not conducted in a private setting. On the survey date at 12:15 p.m., LVN P was observed performing a blood sugar test by pricking the resident’s finger to draw blood while the resident was in the hallway outside her room, rather than inside the room with the door closed. During the observation and interview, LVN P acknowledged that the test should have been conducted in the resident’s room with the door closed for privacy. The DON, Clinical Resource Nurse, and Administrator, when informed of the observation, each stated that the blood sugar test should have been completed in the resident’s room with the door closed to maintain privacy and comply with the facility’s policy. The facility’s Resident Rights, Dignity and Respect policy stated that residents shall be examined and treated in a manner that maintains the privacy of their bodies, with a closed door or drawn curtain shielding them from passers-by, and that people not involved in the resident’s care shall not be present without the resident’s consent during examination or treatment.
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