Failure to Honor Resident's Preference for Morning Routine
Penalty
Summary
The facility failed to honor a resident's right to make choices about their daily preferences, specifically regarding the desire to be out of bed and dressed before breakfast. The resident, who was moderately cognitively impaired and required substantial to maximum assistance with activities of daily living, consistently expressed a preference to be up, dressed, and seated in a chair for breakfast. Despite this, multiple observations over several days showed the resident remained in bed, dressed in a hospital gown, and ate breakfast in bed. The resident reported that staff did not offer or assist with getting up and dressed before breakfast, contrary to their stated preference. Review of the resident's care plan (Kardex) indicated that staff were to encourage the resident to be out of bed daily and offer to get them up before breakfast. However, interviews with staff revealed a lack of awareness of the resident's preferences, and staff did not consistently offer or provide the assistance needed to fulfill the resident's wishes. Nursing staff confirmed that the resident should have been offered the option to get up and dressed prior to breakfast, and that this was not being done as required.