F0583

D

Failure to Maintain Privacy and Dignity for Two Dependent Residents

Richmond, Texas Survey Completed on 03-25-2026

Penalty

No penalty information released

Summary

The deficiency involves failure to maintain personal privacy and dignity for two residents who were dependent on staff for activities of daily living. One resident was an older female with hemiplegia and hemiparesis following a cerebral infarction, contractures of the upper and lower body, dysphagia, and a BIMS score of 0 indicating severely impaired cognition. Her care plan included staff participation in dressing due to an ADL self-care performance deficit. During observation, her room door was open, the privacy curtain was not drawn, and she was lying in bed on her back with the head of the bed lowered, wearing a gown with a Hoyer lift sling under her upper torso. She was uncovered, with bed covers at the foot of the bed, and was not interviewable.

The second resident was an older female with dementia, osteoarthritis, anxiety, joint contractures, and a BIMS score of 3, also indicating severely impaired cognition, and was dependent on staff for ADLs. Her care plan included an intervention to close the curtain while providing care to protect her right to health, safety, and dignity. Observation showed her door open, curtain not pulled, lying on her back with the head of the bed lowered, wearing a gown with a Hoyer sling under her upper torso, and uncovered with covers at the foot of the bed. CNA A, who had been working at the facility for a year, entered the shared room and acknowledged that both residents should have been covered for privacy and dignity, stating she had left the room to get assistance with getting them out of bed. The ADON confirmed that residents should be covered and not exposed to promote dignity, and the facility’s Resident Rights/Dignity and Respect policy required maintaining privacy of the resident’s body and shielding residents from passers-by with a closed door or drawn curtain.