LPA interviewed the administrator (ADM). ADM stated that staff regularly take photos of residents’ meals, activities, clothing, and rashes when needed for documentation. ADM stated that staff do not take full-face photos of residents, and if a face is captured, it is blurred. ADM reported that verbal and written consent was obtained from all responsible parties or POAs except for one resident, and that no photos are taken of that resident. ADM stated that no residents have cameras in their rooms and that there are no plans to install cameras in bedrooms. ADM also stated that many residents have rashes in their private areas and that staff monitor these regularly, sometimes taking photos of the rash and the cream applied, and only with responsible party consent.

A review of records revealed that five residents had signed written consent forms allowing the facility to take photos or videos strictly for care-related reasons. The form explains that photos may be used to help staff understand behaviors, communicate with healthcare providers, and document medical issues. It also states that photos are kept private, stored securely, only shared with the resident’s care team, and that consent is voluntary and may be revoked at any time. One resident’s responsible party declined consent, and no photos are taken for that resident.

LPA interviewed Staff 2 (S2), who has worked at the facility for two weeks. S2 stated that most responsible parties provided written permission for staff to take photos for meals, activities, and medical concerns. One resident did not have consent, and staff only document that resident’s needs in writing. S2 reported that the new staff have been documenting medical issues that existed before they arrived, including the coccyx sore on the deceased resident. S2 denied any practice of taking photos during dressing or changing and stated they have not heard of any plans to install cameras in resident rooms.

LPA interviewed an outside source (OS) who visits the facility every day and is familiar with the residents and staff. OS reported they have observed the facility before and after the new staff took over and described the new team as more engaged, organized, and attentive. OS stated the atmosphere now appears calmer and more structured, with a greater focus on meaningful engagement for residents with dementia.

OS provided several examples of positive resident changes. OS described a resident who previously sat disengaged but now participates in simple group activities when encouraged by staff and shows more emotional comfort, such as smiling or responding to sensory items. OS described another resident who historically showed frequent distress but now appears calmer and less reactive, crediting staff for using gentle redirection and reassurance.OS reported hearing positive comments from multiple responsible parties who feel staff are more involved and communicative than before.

OS stated that one responsible party asked them directly how they felt about staff taking photos of residents. OS said they told the responsible party that they support appropriate photo documentation because it helps families stay informed and helps staff monitor changes.