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F0557
D

Failure to Treat Resident with Dignity During Care

Los Angeles, California Survey Completed on 08-12-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

A deficiency was identified when a certified nursing assistant (CNA) failed to treat a resident with dignity and respect during care. The resident, who had hemiplegia, hemiparesis, osteoarthritis, and was always incontinent of urine, required partial to moderate assistance for activities of daily living, including toileting hygiene. The resident reported that the CNA on the night shift pushed on his leg, hit him with a pillow, and spoke to him in a rude and dismissive manner, telling him to clean himself. This interaction left the resident feeling frustrated, upset, and reluctant to request further assistance. Another resident, who also required partial to moderate assistance for daily care, confirmed that the CNA spoke rudely to the first resident, instructing him to change himself if he did not want to wait. The Director of Staff Development and the Director of Nursing both acknowledged that the CNA's behavior was inappropriate and not in accordance with facility policy, which requires staff to treat residents with dignity and respond promptly and respectfully to care requests. The facility's policy prohibits demeaning practices and mandates respectful communication at all times.

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