Failure to Respect Resident Dignity During Medication Administration
Penalty
Summary
The facility failed to administer medications in a manner that respected the residents' dignity for two residents observed during medication administration. Resident 23, who has diagnoses including dementia with Lewy bodies and diabetes mellitus type II, was observed receiving insulin injections in both upper arms while seated in the unit's common area, with multiple other residents present. This action was contrary to the facility's policy, which emphasizes treating residents with respect and dignity. Similarly, Resident 53, diagnosed with dementia and diabetes mellitus type II, was observed receiving an insulin injection in the left lower abdomen after their shirt was lifted, also in the common area with multiple residents present. The Nursing Home Administrator confirmed that the facility's expectation is for injections to be administered in the residents' rooms to ensure privacy and dignity, which was not adhered to in these instances.
Plan Of Correction
Employee 1 was educated on the importance of administering medication in a private area and not a common area. The residents were not negatively impacted by this deficient practice. Other residents were not noted to have had similar situations. All residents who are receiving medication are receiving them either in a private, non-common area or will be asked prior to receiving the medication/treatment if the location is satisfactory to the resident. All licensed nurses will be educated on the importance of dignity and respect and administering medications in a private area. Audits will be completed weekly on 2 residents by direct observation for one quarter to ensure compliance. After that, audits will be completed by direct observation bi-weekly on 2 residents for a month to ensure compliance. The results of these audits will be reported to the Quality Assurance and Performance Improvement Committee. Corrective action will be completed by 1/31/25.