Failure to Knock Before Entering Resident Rooms
Penalty
Summary
Surveyors identified a deficiency related to residents’ rights to dignity and respect when a nurse practitioner (NP) repeatedly entered resident rooms without knocking. On 01/27/26 at 11:57 AM on the 500 unit, the NP opened the closed doors and walked into the rooms of residents #24, #38, #44, and #111 without knocking. On the same date at 12:01 PM on the 700 unit, the NP entered the rooms of residents #141 and #142 without knocking, even though their door was open. During an interview at 11:43 AM, the NP acknowledged that it is polite to knock before entering a resident’s room and explained that he was in a hurry and rushed, which is why he did not knock. In a separate interview at 12:16 PM, the Administrator confirmed that her expectation is that staff knock before entering residents’ rooms. These observations and interviews demonstrate that the facility failed to ensure residents were treated with respect and dignity by not consistently knocking before entering their rooms, affecting six randomly observed residents.
