Resident's Right to Dignity and Self-Determination Not Upheld During Care
Penalty
Summary
A deficiency occurred when a staff member failed to honor a resident's right to dignity and self-determination. The resident, who was moderately cognitively impaired and diagnosed with dementia, was admitted to the facility in July 2024. On the date of the incident, a CNA attempted to change the resident's soiled shirt despite the resident's explicit refusal and requests to be left alone. The CNA proceeded to remove the shirt, which led to the resident becoming upset, fighting, and using strong language. The CNA later reported the resident's distress to an LPN, who confirmed the resident was angry about being made to change the shirt. Other staff members recalled the incident, with one CNA remembering the resident crying and reporting the situation to a nurse, and another LPN noting the resident appeared in distress and was forced to do something against their wishes. The resident did not use the word "abuse" but repeated the details of the incident, and two days later, no longer remembered it. The administrator and director of nursing services confirmed the accuracy of the incident and acknowledged the failure to maintain resident rights.