Failure to Provide Prompt Assistance and Maintain Resident Dignity
Penalty
Summary
South Hills Post Acute was found to be non-compliant with federal and state regulations regarding resident rights and dignity. The facility failed to provide prompt assistance to meet the care needs of five residents, as evidenced by resident interviews and clinical record reviews. The facility's policy on resident rights, which emphasizes treating residents with kindness, respect, and dignity, was not adhered to, resulting in residents experiencing delays in receiving necessary care. Resident R1 reported being left in soiled conditions for several hours despite using the call bell multiple times. Staff reportedly turned off the call light and dismissed the resident's requests for assistance. Similarly, Resident R2 experienced delays in receiving care, with staff turning off the call light and leaving the resident waiting for extended periods. Resident R3, who was dependent on assistance due to a broken hip, also reported long waits for care, with staff citing breaks as a reason for the delay. Residents R4 and R5 shared similar experiences of waiting for assistance, with staff turning off call lights and delaying care. These incidents were confirmed by the Nursing Home Administrator and the Director of Nursing, who acknowledged the facility's failure to provide an environment that promotes dignity and quality of life for the residents involved.
Plan Of Correction
Social services met with resident R1, R2, R3, R4, and R5 to ensure the care provided to these residents since initial discovery was completed with respect, kindness, and dignity. A complete floor audit was completed by DON and/or designee to ensure there was no skin breakdown, emotional distress, and no further issues identified since initial discovery indicating lack of respect, kindness, and dignity. All staff was given Resident rights education by the staff educator to ensure understanding of resident rights covering prompt care, incontinence needs, and call bell response. The administrative team and/or designee will complete guardian angel rounds on the unit 2x a week for 2 weeks to ensure all residents are treated with respect, kindness, and dignity. Guardian Rounds audits will be reviewed by Administrator and/or designee at the monthly QAPI meeting to ensure citation has been cleared. Date of Corrective action: 4/24/2025