SNFs are considered patient homes now...I though that was LTC, AFCHs, and AL. When I first started out I was a charge in a SNF (Blank on earth) and it wasn't their home. The patients that transferred to the SNF I worked in (exclusively SNF) were not ready to go home and still needing 24 hour nursing intervention but had overstayed their welcome at the hosptial ortho floor, whatever floor in the hospital so Voila; SNFs were born as opposed to having some beds in LTC deemed skilled beds (which they still do). Hips, hearts, psych patients they were trying to figure out where to put because med-surg wouldn't take them and the psych ward was filled, the whole gamut of post operative patients, wounds, anyone with anything where more teaching was in order, PT, OT, etc...; the whole ball of wax. Could you enlighten me about a SNF now becoming a patient's home. Is this like "While you are here; consider this your home...(give me a bag).
I have found people in all kinds of compromised positions (no pun intended). One of the places it's an absolute no, no is the inpatient psych wards. The law for a person to not have capacity is very high level of proof per state. I've seen full blown cat ladies with dementia change their wills at the end right before they pass and though challenged in court; it is still legal unless you can prove the person did not have capacity (very high benchmark).
As long as that man understood where he was, what he was doing, who he was doing it with, along with the consequenes of his actions...like the final outcome (come is not a pun) than he's legal; unless your facility has a policy in place that addresses this issue and basically says patients can't have sex in their rooms. If that is the case, patients need to be informed. Now there's another bunch of paper work and careplanning. Or: you could just slip it in (I can't help myself) the patient's rights and responsiblities.
There's also undue influence and insane delusion; did he appear in distress, or the women for that matter?