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F0550
D

Failure to Treat Residents with Dignity and Respect

Grand Rapids, Michigan Survey Completed on 04-29-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to ensure that two cognitively intact male residents were treated with dignity and respect by a Certified Nurse Aide (CNA). One resident, who had diagnoses including diarrhea, anxiety, and cerebral palsy, reported feeling humiliated and disrespected after experiencing a bowel movement accident. The CNA entered his room and, according to the resident and corroborating staff interviews, spoke to him in a loud, condescending, and harsh tone, projecting frustration about having to clean him. The resident expressed that this interaction made him feel even worse about his accident. Multiple staff members, including a Licensed Practical Nurse (LPN) and two social workers, confirmed the resident's account of the CNA's inappropriate tone and demeanor during the incident. Another resident, with a history of major depressive disorder and hemiplegia following a stroke, reported that the same CNA had previously treated him in a rude manner, making him feel insignificant when he requested assistance. The resident stated that the CNA dismissed his need to use the restroom, telling him he did not need to go because he had just gone, which led to him having accidents while waiting for toileting assistance. These actions by the CNA resulted in both residents feeling diminished self-worth and frustration.

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