LPN Used Profanity in Presence of Resident with Dementia
Penalty
Summary
A deficiency occurred when a Licensed Practical Nurse (LPN) used profanity in the presence of a resident with severe dementia and agitation. The resident, who had a history of behavioral issues and was rarely or never understood, became combative during a blood sugar check. Witness statements from two Certified Nurse Aides (CNAs) indicated that the LPN called the resident a derogatory term and used additional profane language while attempting to obtain a finger stick, after the resident resisted and spilled juice on the LPN. The incident was observed by staff, who reported hearing the LPN use inappropriate language directed at or around the resident. The resident was assessed after the event and was found to be in a pleasant mood, with no injuries and no recollection of the incident. The LPN admitted to possibly using profanity under his breath but could not recall the exact words. Multiple staff interviews confirmed the use of inappropriate language in the resident's presence. The facility's policy requires staff to behave professionally and appropriately, especially when working with the nursing home population. The LPN's actions violated this policy, as staff are expected to maintain control of their behavior and treat residents with respect and dignity. The use of profanity in the presence of a resident, particularly one with cognitive impairment, constituted a failure to honor the resident's right to a dignified existence and respectful treatment.