Health inspection·April 25, 2024

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Based upon observation, interview and record review, the faclity failed to provide privacy for one unsampled resident (Resident 3) during bathing. As a result the facility failed to provide dignified care when bathing Resident 3. Findings: On 4/25/24 at 9:35 A.M., from the main hallway, the shower room door was observed to be held wide open with a large magnet. A curtain partially obscurred a shower stall, and a male resident, Resident 3, was observed seated in a shower chair, facing the door, and rinsing self with a hand-held shower head. The resident was without clothing. A staff member was observed next to Resident 3 and a male voice was giving verbal cues to Resident 3. On 4/25/24 at 9:37 A.M. an interview was held with LN 1, who identified CNA 1 as the staff member assisting Resident 3 in the shower, and stated that CNA 1 is not a new employee. LN 1 stated it is policy that the shower room door be closed with the sign up noting occupied when a resident is bathing. LN 1 said residents should have privacy in the shower. On 4/25/24 at 10:13 A.M., CNA 1 was interviewed. CNA 1 stated the policy for the shower room door depends as there are a lot of staff in and out to gather supplies so I usually leave it open. CNA 1 said I would not feel good if I was exposed and people were walking by the shower room. CNA 1 identified Resident 3, as the resident he was assisting who required assistance with bathing. On 4/25/24 at 11:40 A.M. Resident 3 was observed resting in bed, fully dressed. Resident 3 stated his privacy is number one in importance, and would feel embarrassed if someone unknown saw him using the bathroom, bathing or clothing being changed. On 4/25/24 at 11:55 A.M. CNA 3 was interviewed and stated part of showering a resident was closing the curtain and the shower room door to provide privacy. On 4/25/24 a concurrent record review of facility Policies and Procedures for Bath, Shower and Resident Rights, and interview was held with the Director of Nursing (DON). The DON stated privacy should be provided for all personal care of residents to avoid discomfort and embarrassment. The Procedure, dated 2006, for Bath, Shower directed.cover resident with appropriate drape. The Policy and Procedure, dated 10/22, Resident Rights directed The resident has the right to a dignified existence. 4. Respect and dignity. The resident has a right to be treated with respect and Page 1 of 2 055761 055761 04/25/2024 Encinitas Nursing and Rehabilitation Center 900 Santa Fe Drive Encinitas, CA 92024

F 0550 dignity. Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few 055761 Page 2 of 2