F0583

D

Failure to Ensure Privacy During Incontinence Care

Warsaw, Indiana Survey Completed on 03-09-2026

Penalty

No penalty information released

Summary

The deficiency involves failure to provide privacy during incontinence care for three residents during early morning care. For Resident B, surveyors observed two CNAs providing incontinence care without pulling the privacy curtain between the resident and his roommate. Resident B’s diagnoses included nontraumatic intracerebral hemorrhage, dementia, and altered mental status. At the time of the survey, an admission MDS was in progress and Resident B did not yet have a care plan addressing incontinence care.

For Resident C, two CNAs assisted with placement of an incontinence brief while the resident was in bed. One CNA pulled the resident’s lower garment to her ankles and placed the brief underneath her without pulling the privacy curtain between her and her roommate or closing the window blinds. Resident C had Alzheimer’s disease, dementia, and overactive bladder, with an MDS indicating severe cognitive impairment and a need for substantial assistance with toileting hygiene; her care plan documented intermittent incontinence and the need for assistance with incontinence care. For Resident D, two CNAs provided incontinence care with the privacy curtain by the window only partially pulled, leaving an exposed window with open blinds, and the curtain between the resident and her roommate not pulled. Resident D had spastic hemiplegia, cerebral infarction, and overactive bladder, with an MDS indicating severe cognitive impairment and total dependence for toileting hygiene; her care plan documented bladder and bowel incontinence and staff assistance with incontinence care. During interview, one CNA acknowledged that privacy curtains and window blinds should have been closed during incontinence care. The facility’s Resident Rights policy stated that residents have the right to be treated with respect and dignity.