Failure to Maintain Homelike Environment Due to Resident's Disruptive Behavior
Penalty
Summary
The facility failed to provide a safe, comfortable, and homelike environment for two residents who were negatively affected by the disruptive behavior of another resident diagnosed with bipolar disorder. Both affected residents, who had diagnoses including depression, requested that their room doors be kept closed due to the noise and verbal aggression occurring in the hallway outside their rooms. One of these residents also avoided participating in activities because the disruptive resident was present, yelling and cussing at others in the activities room. Multiple staff members, including CNAs and licensed nurses, confirmed that the disruptive resident frequently yelled and used profanities toward other residents, causing discomfort and distress among those exposed to the behavior. Review of the disruptive resident's care plan and progress notes revealed a history of sudden and abrupt episodes of verbal and physical aggression without warning, with documented incidents of yelling at both staff and residents. Staff interviews indicated that the behavior was ongoing and had a negative impact on the environment, with staff expressing concern and empathy for the affected residents. The facility's policy on maintaining a homelike environment emphasized the importance of comfortable sound levels, which was not upheld in this situation.