Failure to Assist Dependent Resident with Transfers and Activities of Daily Living
Penalty
Summary
A deficiency occurred when a dependent resident was not provided assistance to get out of bed, despite being unable to perform this activity independently. Observations on multiple occasions showed the resident lying in bed with her call light within reach, reporting that staff would not assist her to the toilet or help her attend activities. The resident, who had diagnoses including muscle wasting, atrophy, a femur fracture, and diabetes, was cognitively intact according to her BIMS score. Her care plan specified that she required assistance from one staff member for transfers, with the goal of preventing decline in her ability to perform activities of daily living (ADLs). Interviews revealed that a CNA assigned to the resident had not assisted her out of bed and only did so when residents specifically requested it. The DON confirmed that all residents should be offered the opportunity to get out of bed, regardless of whether they ask. The CNA job description also outlined responsibilities for assisting residents with transfers and mobility. The failure to provide necessary assistance resulted in the resident remaining in bed and missing activities, contrary to her care plan and facility policy.