Lakewood Rehabilitation & Healthcare Center

During an interview with Employee 3, CNA, on December 22, 2025, at 11:15 AM, it was stated the window shade had not been lowered during incontinence care at the time of the incident.

During an interview with the Nursing Home Administrator (NHA) on December 22, 2025, at 2:00 PM, it was acknowledged that Employee 1 and Employee 2 admitted to making the video recording.

The NHA confirmed it is the facility's responsibility to ensure residents at the facility have a right to personal privacy.

The NHA revealed that both Employee 1 and Employee 2 have been terminated from employment at the facility as of December 17, 2025.

This deficiency is cited as past non-compliance.

The facility's corrective action plan was to identify other residents with the potential to be affected, and there were no other facility staff or residents reporting any unauthorized videos. To prevent this from recurring, the NHA and Interdisciplinary Team (IDT) provided re-education to facility staff regarding HIPAA (Health Insurance Portability and Accountability Act) regulations and policy and usage of cell phones and electronic devices. To monitor and maintain ongoing compliance, the NHA/designee will perform audits twice a week for 4 weeks to ensure that staff are following HIPAA regulations and policy.

Any negative findings will be immediately corrected.

Results of audits will be forwarded to facility QAPI for review and recommendation as indicated.

The facility's immediate corrective action plan was completed on December 18, 2025. 28 Pa.

Code 201.18 (e)(1) Management.28 Pa.

Code 201.29 (a) Resident rights.28 Pa Code 211.10 (a)(c) Resident care policies.28 Pa.

Code 211.12 (c) Nursing services.

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