Failure to Promote Dignity and Respect During Resident Care
Penalty
Summary
The facility failed to promote dignity and treat residents in a respectful manner during care for three residents. One resident, who is cognitively intact and dependent on staff for mobility and hygiene due to a history of stroke and other medical conditions, reported that a CNA was rough during a shower, used a hoist that caused pain to his private area, and ignored his repeated requests to be repositioned. The resident also stated that after the shower, he was put to bed while still wet and that no staff or management followed up with him about the incident. The resident's mother reported the incident to the Social Service Director, who did not document the complaint in the grievance book or speak directly to the resident, but instead relayed the information to the Administrator. The Administrator confirmed that no investigation was conducted, no interviews were held with the resident or other staff, and the only documentation was a disciplinary write-up for the CNA involved. Another resident, who is moderately cognitively impaired but was alert and oriented during the interview, stated that the same CNA showed no respect during showers, although he did not report any abuse. This resident requires partial to moderate assistance with showering, with the CNA expected to provide less than half the effort as the resident is able to complete most of his own shower. The care plan for this resident indicated a need for limited assistance and participation in restorative programs to maintain function. A third resident, who is cognitively intact and independent with activities of daily living including showers, reported that the CNA did not allow residents to do as much for themselves as they were able during showers, instead performing the tasks herself. The care plan for this resident indicated supervision was only needed as required and that the resident was independent with transfers. These findings demonstrate a pattern of staff not honoring residents' rights to dignity, respect, and independence during care.