Failure to Ensure Resident Dignity and Respect During Care
Penalty
Summary
Multiple residents experienced a lack of respect and dignity in their care, as evidenced by interviews and clinical record reviews. One resident, with fluctuating cognitive status, reported that a CNA assisted her in a harsh and rough manner, both in the dining room and in her own room, including being jerked up from a seated position without warning. The resident also stated that the CNA was demanding, not gentle during showers, and dismissive when bathroom assistance was requested. Despite reporting these concerns to the administrator, the resident did not observe any improvement in the CNA's behavior. Another resident, cognitively intact, expressed that staff did not treat her or others with dignity. She described being awakened during the night for skin audits and wound treatments, and reported that staff would answer her call light but not return to provide the needed assistance. The resident also observed staff using cell phones and listening to music with earbuds while providing care. She recounted an incident where a CNA refused to assist another staff member with her transfer, and after reporting a near fall, the CNA confronted her, called her a liar, and threatened to write her up. Following this, the resident felt the CNA intentionally ignored her call lights. A third resident, also cognitively intact and requiring extensive assistance for transfers, reported being treated roughly and like a "rag doll" by a CNA, which caused her to fear injury. The resident stated the CNA showed little interest in helping and was rough when dressing her. Staff interviews corroborated these accounts, noting the CNA's rude behavior towards both residents and staff, and confirming that the CNA performed a two-person lift alone. The facility's own investigation documented multiple residents reporting rough care and inappropriate handling by the CNA.