Failure to Maintain Resident Dignity and Responsiveness
Penalty
Summary
The facility failed to maintain the dignity of three residents during the survey. In the first instance, a CNA refused to assist a resident, citing the resident's aggressive behavior, and communicated this in a loud and undignified manner to the resident's representative. The CNA did not recognize the undignified nature of her response. In the second instance, a resident who had undergone lung surgery and was diagnosed with Parkinson's Disease was left without pain medication for an extended period after activating the call light. The resident had to personally seek assistance from a nurse, who responded inappropriately by expressing reluctance to work due to tiredness. Additionally, the resident's care plan did not address post-surgical care needs. In the third instance, a resident approached a CNA at the nursing station for assistance with mailing an envelope. The CNA did not respond to the resident's request, citing a lack of knowledge about where to find the necessary supplies. The resident eventually received assistance from another staff member. These incidents highlight a failure to uphold the residents' rights to dignity and proper communication, as well as a lack of appropriate care planning and responsiveness to residents' needs.
Plan Of Correction
1/13/25 1. Corrective Action of Areas Affected: The concerns for residents #62, #34 and #35 were addressed. CNAs #1 and #2 were re-educated on resident rights, customer service, and addressing residents concerns in a proper manner. The [R] for resident #34 was re-educated in these areas and also received [R]. Resident #34 care plan was updated to address [R]. 2. Other Areas Affected: All residents have the potential to be affected by this deficient practice. Interviewable residents or family members/Responsible Party's of non-interviewable residents, have been interviewed to identify and immediately address other potential resident rights concerns. 3. Systemic Changes to Prevent Future Occurrences: Licensed nurses and CNAs have been re-inserviced on Resident Rights and Customer Service. Managers function as resident Partners by frequently visiting residents. Partners have been re-educated on the various specific Resident Rights under the Federal/State regulations. They have conducted Resident Rights inquiries with all interviewable residents or family/Responsible Party of non-interviewable residents regarding potential resident rights violations and any concerns have been addressed through the facility's Grievance process. 4. Monitoring of Corrective Action: The resident "Partners" will interview a minimum of 5 alert residents or family members/Responsible Party of cognitively impaired residents weekly x4 weeks, then monthly x2 months. Results of the audits/Grievances will be reported at the monthly Quality Assurance Improvement Meetings for review and recommendations.