Failure to Maintain Dignity During Dining
Penalty
Summary
Staff failed to ensure dignity during dining for two residents with significant medical needs. One resident, who was severely cognitively impaired and dependent on assistance for eating, was observed being fed by CNAs while the staff stood at the bedside on two separate occasions. The resident's diet required special considerations due to dysphagia and other medical conditions. Despite being aware of proper feeding protocols, staff continued to feed the resident while standing. Another resident, who had mild cognitive impairment and required a dysphagia puree diet with honey thickened fluids, was also observed being fed by a CNA while the staff member stood. Upon noticing the surveyor, the CNA retrieved a chair and sat down. These observations were confirmed through interviews and record reviews, indicating a failure to maintain resident dignity during mealtime.