Failure to Support Resident Choice in Daily Routines and Preferences
Penalty
Summary
The facility failed to honor and facilitate resident self-determination by not supporting resident choices regarding schedules, clothing, and bathing preferences for two residents. One resident, who had no cognitive impairment and required assistance with bathing, reported that a CNA was rough, rushed her during showers, and refused to use the whirlpool jets or allow her to wear her jewelry, stating she did not have time to accommodate these preferences. Documentation and staff statements confirmed that the CNA prioritized speed over resident choice due to pressure to complete baths quickly, resulting in the resident's preferences being disregarded. Another resident, also cognitively intact and dependent on staff for dressing and transfers, was made to go to bed at a set time and wear a hospital gown against his wishes. Staff did not listen to his requests regarding bedtime, clothing, or the correct use of his CPAP machine. Documentation included a disciplinary report and staff statements confirming that the resident's choices were not respected, and his attempts to communicate his preferences were ignored. The facility's own resident rights policy included the right to self-determination and making choices about significant aspects of life, which was not upheld in these instances.