Failure to Treat Resident with Dignity and Respect During Dressing Assistance
Penalty
Summary
A deficiency occurred when a certified nursing assistant (CNA) failed to treat a resident with dignity and respect during an interaction related to dressing assistance. The resident, who had a history of hemiplegia, diabetes mellitus, and stroke, was cognitively intact and required dependent or substantial assistance with dressing due to her physical limitations. On the day of the incident, the resident requested help from the CNA to change into pajama pants and a top before lunch. The CNA responded in a rude and disrespectful manner, telling the resident twice to put the pajama pants on herself, despite the resident's documented need for assistance. The resident reported feeling disrespected by the CNA's tone and behavior, although she denied experiencing fear, abuse, or physical harm. The incident was captured on video by the resident's daughter, which showed the CNA speaking unprofessionally and loudly to the resident. The facility's investigation confirmed that the CNA did not act professionally during the interaction. The resident expressed that she did not want the CNA to provide further care to her following the incident. Interviews with facility staff and review of the resident's care plan confirmed that the resident required two-person assistance for dressing and that care should be provided according to the resident's comfort and needs. The CNA's actions were inconsistent with the resident's care plan and the facility's policies on abuse, neglect, and resident rights. The event was identified as a failure to provide care in a manner that promoted the resident's dignity and quality of life.