Failure to Ensure Dignified Dining and Resident Privacy
Penalty
Summary
Staff failed to promote a dignified dining experience for multiple residents during meal service. Observations revealed that residents seated together at the same table did not receive their meals at the same time, resulting in significant delays for some individuals. For example, one resident left the dining room without being served, while others waited up to 23 minutes after their tablemates had been served. Staff continued to serve other tables before returning to serve all residents at a given table. These actions were confirmed by interviews with facility staff and the administrator. Additional deficiencies were observed regarding resident privacy and respectful communication. An LPN was seen entering a resident room without knocking or announcing himself on two separate occasions, only knocking after already being inside and interacting with the residents. Furthermore, a nurse was observed standing while assisting a resident with their meal in bed, contrary to expected practice. These findings were confirmed through staff interviews and direct observation.