Failure to Honor Resident's Right to Dignity During Resistive Care
Penalty
Summary
Staff failed to honor a resident's right to dignity and self-determination when they continued to provide care to a resident who was actively resistive and combative, despite the resident's clear desire to be left alone. Progress notes indicated that the resident, who was severely cognitively impaired and had diagnoses including non-Alzheimer's dementia, anxiety, and depression, was hitting, pinching, and spitting at staff during care. The care plan for this resident specified that if the resident declined care, staff should ensure the resident's safety, leave, and re-approach after five minutes or have another staff member attempt care. Despite these interventions being outlined in the care plan, interviews with CNAs revealed that staff continued to provide care to the resident while the resident was upset and combative, rather than following the care plan's direction to allow the resident time to calm down. This failure to follow the resident's care plan and respect the resident's wishes resulted in the resident not being treated with dignity and respect during care interactions.