Failure to Protect Resident Dignity and Confidentiality
Penalty
Summary
The facility failed to ensure a dignified environment and protect resident rights for two residents. For one resident with a history of pneumonitis, epilepsy, stroke, malnutrition, right-sided muscle weakness, dementia, and anxiety, the Assistant Director of Nursing (ADON) referred to the resident's dining area as the 'feeder table' in the presence of another resident and a state surveyor. The ADON later acknowledged that this terminology was inappropriate and recognized it as a dignity issue, but was unsure of the correct term to use. For another resident with diagnoses including diabetes type 2, depression, anxiety, stroke, falls, and muscle weakness, a sign was posted on her door in a public hallway indicating her use of pull-ups and referencing her incontinence care needs. Interviews with staff, including a CNA, LVN, and the administrator, confirmed that facility policy requires confidentiality regarding incontinence and that such information should not be publicly displayed, as it could lead to embarrassment and loss of dignity for the resident.