Health inspection·May 13, 2024

F 0583 Keep residents' personal and medical records private and confidential. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and facility P&P review, the facility failed to ensure the privacy for one sampled resident (Resident 4) was provided during care. Residents Affected - Few * The privacy curtain was not pulled while providing ADL care to Resident 4. This failure had the potential to violate the resident's rights to privacy. Findings: Review of the facility's P&P titled Quality of Life-Dignity revised February 2020 showed the staff to promote, maintain, and protect resident privacy, including bodily privacy during assistance with personal care and during procedures. On 4/25/24 at 0947 hours, CNA 1 was observed speaking to CNA 2 from Shower Room A while providing a shower to Resident 4. The door of the shower room was open with the privacy curtain pulled back by CNA 1, and Resident 4 was observed completely undressed and visible from the hallway. Other residents and staff were observed in the hallway at that time. Medical record review for Resident 4 was initiated on 4/24/24. Resident 4 was admitted to the facility on [DATE], and readmitted on [DATE]. Review of Resident 4's MDS dated [DATE], showed Resident 4 was cognitively intact and had legal blindness. On 4/25/24 at 1000 hours, an interview was conducted with CNA 1. CNA 1 acknowledged Resident 4's privacy was not maintained when the shower room door and privacy curtain were kept open when she provided Resident 4 a shower. On 4/24/24 at 1430 hours, an interview was conducted with Resident 4. When asked about providing privacy, Resident 4 stated he did not want anyone to see him naked while he was being bathed. On 4/24/24 at 1500 hours, an interview was conducted with the DON. The DON acknowledged Resident 4's privacy was not maintained while he was being showered by CNA 1. Based on observation, interview, and facility P&P review, the facility failed to ensure the privacy for one sampled resident (Resident 4) was provided during care. * The privacy curtain was not pulled while providing ADL care to Resident 4. This failure had the Page 1 of 2 056076 056076 05/13/2024 Anaheim Terrace Care Center 141 South Knott Avenue Anaheim, CA 92804

F 0583 potential to violate the resident's rights to privacy. Level of Harm - Minimal harm or potential for actual harm Findings: Residents Affected - Few Review of the facility's P&P titled Quality of Life-Dignity revised February 2020 showed the staff to promote, maintain, and protect resident privacy, including bodily privacy during assistance with personal care and during procedures. On 4/25/24 at 0947 hours, CNA 1 was observed speaking to CNA 2 from Shower Room A while providing a shower to Resident 4. The door of the shower room was open with the privacy curtain pulled back by CNA 1, and Resident 4 was observed completely undressed and visible from the hallway. Other residents and staff were observed in the hallway at that time. Medical record review for Resident 4 was initiated on 4/24/24. Resident 4 was admitted to the facility on [DATE], and readmitted on [DATE]. Review of Resident 4's MDS dated [DATE], showed Resident 4 was cognitively intact and had legal blindness. On 4/25/24 at 1000 hours, an interview was conducted with CNA 1. CNA 1 acknowledged Resident 4's privacy was not maintained when the shower room door and privacy curtain were kept open when she provided Resident 4 a shower. On 4/24/24 at 1430 hours, an interview was conducted with Resident 4. When asked about providing privacy, Resident 4 stated he did not want anyone to see him naked while he was being bathed. On 4/24/24 at 1500 hours, an interview was conducted with the DON. The DON acknowledged Resident 4's privacy was not maintained while he was being showered by CNA 1. 056076 Page 2 of 2