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F0550
D

Failure to Maintain Resident Dignity During Care and Assistance

Vero Beach, Florida Survey Completed on 07-09-2025

Penalty

Fine: $35,265
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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

Two residents were not provided care and services in a manner that maintained their dignity. One resident, who was cognitively intact, reported that when using the call light for assistance, it sometimes took over 30 minutes for staff to respond. Upon arrival, staff would occasionally tell her she would have to wait because they were busy, and some staff appeared to be stressed or had negative attitudes. The resident expressed that this treatment made her feel disrespected and not good. The DON agreed that this did not reflect dignified treatment. Another cognitively intact resident described two incidents where he felt disrespected by CNAs. In one instance, a CNA watched him struggle to pick up an item from the floor without offering assistance. In another, during ADL care, the resident, who had a recent hip surgery, reported being handled roughly by CNAs who did not allow him time to move at his own pace and grabbed his surgical hip area, causing pain. Despite informing the CNAs of his pain, they continued without adjusting their approach, and their facial expressions did not change, making the resident feel unheard. The DON was not previously aware of these complaints but stated that CNAs should handle all residents gently, regardless of surgical history.

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