Failure to Knock or Announce Before Entering Resident Rooms During Meal Delivery
Penalty
Summary
The facility failed to ensure resident privacy and dignity when staff entered resident rooms without knocking or announcing themselves during meal tray delivery. During supper meal service on 3/12/26, a surveyor observed multiple instances in which CNAs entered specific resident rooms while delivering trays without first knocking or identifying themselves: at 5:06 p.m. CNA 3 entered one room, at 5:07 p.m. CNA 2 entered another room, at 5:10 p.m. CNA 2 entered a third room, at 5:11 p.m. CNA 3 entered a fourth room, at 5:12 p.m. CNA 2 entered a fifth room, and at 5:13 p.m. CNA 3 entered a sixth room, all without knocking or announcing their presence. On 3/16/26 at 11:37 a.m., CNA 4 stated that staff are expected to knock, announce themselves, state their department, and ask permission before entering a resident’s room. On 3/16/26 at 11:44 a.m., the Assistant Administrator provided the facility’s current dignity policy, revised in 2025, which states it is the practice of the facility to protect and promote resident rights and to treat each resident with respect and dignity. This deficiency was cited under 410 IAC 16.2-3.1-3(a) and relates to Intake 2738912.
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