Inappropriate Terminology Used by CNA Compromises Resident Dignity
Penalty
Summary
The facility failed to promote dignity in dining for a resident, as evidenced by the use of inappropriate terminology by a Certified Nursing Assistant (CNA). During an observation, the CNA referred to a resident who required assistance with eating as a "feeder," a term that was acknowledged by the Director of Nursing as a dignity issue. This terminology was used despite the facility's policy on promoting and maintaining resident dignity, which emphasizes treating each resident with respect and dignity. The resident in question had a severe condition, as indicated by a Minimum Data Set quarterly assessment score of 3 out of 15. The CNA had previously passed the required competencies for her job, which included maintaining and enhancing a patient's self-worth. However, the use of the term "feeder" was inconsistent with these competencies and the facility's policy, highlighting a failure to uphold the dignity and individuality of the resident.
Plan Of Correction
Preparation and/or execution of this plan does not constitute admission or agreement by the provider of the truth of the facts alleged or conclusions set forth on the statement of deficiencies. This plan of correction is prepared and/or executed solely because it is required. (a) Immediate action(s) taken for the resident(s) found to have been affected include: CNA H was counseled regarding the inappropriate [R], and provided immediate re-education on maintaining resident dignity and respectful communication. (b) Identification of other residents having the potential to be affected was accomplished by: All Residents who require assistance during meals have the potential to be affected. Residents with a score of 12 and over were interviewed by the Social Services Staff and Administrator to determine if they have experienced or witnessed any undignified language or treatment. (c) Actions taken/systems put into place to reduce the risk of future occurrence include: Starting on [date], all staff will receive mandatory training on resident rights, dignity, and person-centered communication, with a focus on respectful language. All staff will be in-service by [date]. Any staff not in-serviced by this date will be in-serviced prior to their next scheduled shift. We have no Agency staff currently. All newly hired staff will be in-serviced by the ADON during their orientation. (d) How the corrective action(s) will be monitored to ensure the practice will not recur: The Director of Nursing (DON) or designee will conduct 5 meal service audits weekly for 1 month, then 10 monthly for at least two additional months, to ensure staff are promoting dignity. Findings from audits will be reviewed in the facility's Quality Assurance and Performance Improvement meetings, and corrective actions will be taken as needed. Compliance monitoring will continue until sustained improvement is demonstrated, as determined by QAPI oversight. (e) Date of compliance: [date]