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F0550
D

Failure to Honor Resident Dignity and Respect During Cares

Fargo, North Dakota Survey Completed on 04-09-2025

Penalty

Fine: $63,140
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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

Facility staff failed to provide care in a manner that maintained and respected the dignity and individuality of a resident with intact cognition. During an observed care event, two CNAs and a nurse transferred the resident from a wheelchair to bed in preparation for a bladder scan and toileting. Despite the resident's explicit request to have the bladder scan performed before toileting cares, staff did not honor this request and proceeded with rolling the resident and changing the brief before conducting the scan. Additionally, during the care process, one CNA made an unprofessional and inappropriate comment referencing her own body while rolling the resident. The resident later confirmed hearing the comment and expressed that it was not professional. Facility policy requires staff to treat residents with dignity and respect at all times, and an administrative nurse confirmed that both the failure to honor the resident's request and the CNA's comment were unacceptable.

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