Resident Denied Timely Toileting Assistance During Meal
Penalty
Summary
A resident with severe cognitive impairment and a history of bladder incontinence, who required substantial assistance for toileting and was prescribed a daily diuretic (Lasix), requested to use the bathroom during a dining observation. The certified nurse aide (CNA) present denied the resident's request, instructing her that she could not go to the bathroom because she had to eat. This interaction was directly observed by surveyors. Review of the resident's clinical record confirmed her diagnoses, care needs, and medication regimen, all of which increased her likelihood of needing prompt toileting assistance. Facility policy on dignity emphasized that residents should be treated with respect and allowed to exercise their rights, including prompt response to toileting requests. The staff's failure to allow the resident to use the bathroom as requested did not align with these expectations and resulted in a deficiency related to resident dignity and rights.