Failure to Maintain Resident Dignity During Care Activities
Penalty
Summary
The facility failed to ensure that residents were treated with dignity during daily care activities. In one instance, a CNA was observed feeding a resident while standing over them at the bedside, rather than sitting at the resident's level. The CNA stated that the chair available was too wide to fit in the area and was unaware that standing while feeding was a dignity issue. Despite being informed of the concern, the CNA continued to stand while feeding the resident. In another case, a resident with a history of muscle spasm, congestive heart failure, fluid overload, and a left leg below-the-knee amputation reported being left on a bedside commode for two hours during the night before receiving assistance back to bed. The resident expressed feeling disrespected and described the treatment as inhuman. The incident was not previously known to the facility's administration or DON until brought up during the survey.