Failure to Provide Dignified Dining Experience
Penalty
Summary
The facility failed to provide a dignified dining experience for a resident, who was observed eating lunch with his fingers while seated in a high-traffic hallway. Two staff members were seen adjusting the resident in his wheelchair, with one assisting him with his meal while standing over him. The resident, who has diagnoses including type 2 diabetes mellitus, dementia, and anxiety, requires assistance with personal care. Interviews with staff revealed that the resident is placed in the hallway during meals for monitoring purposes, as requested by his daughter, but the Director of Nursing acknowledged that this arrangement could be a dignity concern. The facility lacked a policy related to dignified dining.
Plan Of Correction
Preparation and/or execution of this Plan of Correction does not constitute admission or agreement by the provider of the truth of the items alleged or conclusions set forth in the statement of deficiencies. This Plan of Correction is prepared solely because it is required by the provision of Federal and State Laws code section 1280 and 42 CFR 483.1. 1. Resident #7's plan of care has been updated to reflect the dining preferences of the resident/resident representative. The resident's representative has received information specific to dignified dining, who verbalized understanding. 2. Director of Nursing (DON)/Designee has completed observation of current facility residents while dining to verify dignity is maintained. Follow up based on findings. 3. Staff Development Coordinator (SDC)/Designee has completed education for current facility employees related to maintaining resident dignity while dining. 4. Director Of Nursing/Assistant Director Of Nursing/Unit Manager/Designee to complete random observations of residents while dining to ensure dignity is maintained. Observations will contain 10 residents/week x 3 months, then as needed until substantial compliance is achieved. Findings to be reviewed during the monthly Quality Assurance and Performance Improvement Committee Meeting. Modifications implemented as indicated.