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F0550
D

Failure to Ensure Resident Dignity and Respect During Night Shift Care

Rockford, Illinois Survey Completed on 05-21-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

A resident with no cognitive impairment reported concerns regarding the treatment received from staff during the night shift. The resident stated that a staff member did not place his wheelchair within reach as requested, instead leaving it across the room, which caused distress. On another occasion, when the resident requested assistance with his blankets, the staff member told him to do it himself. The resident expressed that he required help and wanted to be treated properly, and he reported these concerns to the Director of Nursing (DON). The DON confirmed that the resident had previously brought up a concern about not having his pants put on at night as requested, but was not aware of the wheelchair and blanket issues until informed by the surveyor. The facility's policy states that each resident should be cared for in a manner that promotes their well-being, satisfaction, self-worth, and self-esteem. The observations and interviews indicate that the resident was not consistently treated with dignity and respect by staff, as required by facility policy.

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