Failure to Honor Resident's Choice for Shower Before Medical Appointment
Penalty
Summary
A deficiency occurred when staff failed to honor a resident's expressed preference to have a shower before a scheduled medical appointment. The resident, who had diagnoses including diabetes mellitus, hemiplegia, and anxiety disorder, was cognitively intact and required partial to moderate assistance with bathing and other activities of daily living. On the morning of the appointment, the resident communicated to CNA 5 and RN 3 that he wished to shower before getting dressed, as it was his shower day. Despite this, CNA 5 attempted to dress the resident early and did not accommodate the request, citing other care responsibilities. The resident became frustrated and upset due to staff not listening to his preference. Multiple staff interviews confirmed that the resident's request for a shower was known and that honoring resident choice is recognized as important by facility policy and staff, including the LVN, DSD, and Administrator. CNA 7, who had previously promised to assist the resident with a shower before the appointment, later provided the shower, but only after the resident's initial request was disregarded. The facility's policy on resident rights supports self-determination and choice, which was not upheld in this instance.