Failure to Maintain Resident Dignity and Privacy During Incontinence Care
Penalty
Summary
The deficiency involves failure to ensure a resident was treated with dignity and respect during incontinence care and toileting needs. The resident had multiple diagnoses including cognitive communication deficit, history of TIA, adult failure to thrive, and dementia, with an Annual MDS BIMS score of 5 indicating severe cognitive impairment. During observation, the resident was found in bed with blankets folded back and linens soiled with stool, with a distinct stool odor and stool leaking from the left side of the incontinence brief. The resident pointed to the brief and said "mess" but was unable to state how long she had been soiled and did not indicate whether she had used the call light for assistance. Later the same day, a CNA entered the resident’s room to perform bowel and bladder rounds and incontinence care. During this care, the window blinds remained open with the courtyard visible, and the privacy curtain was not in use, remaining pulled back to the corner of the room above the bed. When questioned, the CNA acknowledged she did not use the privacy curtain and initially stated that resident rooms could not be seen from outside. After accompanying the surveyor to the courtyard, the CNA was able to see part of the resident through the open blinds and acknowledged she should have closed the blinds or used the privacy curtain during care.
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