Failure to Ensure Resident Dignity and Timely Response to Care Needs
Penalty
Summary
The facility failed to ensure residents' rights to a dignified existence and timely care, as evidenced by multiple incidents involving delayed staff response to call lights and lack of respect for residents' privacy. One resident reported that staff response to call lights was inconsistent, with a specific incident where a call light was activated for a roommate whose legs were dangling off the bed, and staff took approximately 25 minutes to respond. The resident's representative also described two separate occasions where family members waited 30 minutes to an hour for staff to respond to call lights to address the resident's incontinence needs. The Director of Nursing acknowledged that these response times were excessive and not in line with facility expectations. Another resident, who was cognitively intact and had hemiplegia and hemiparesis following a stroke, reported that staff did not knock or ask permission before entering his room and failed to close his bathroom door as requested, despite signage instructing staff to do so. The resident also stated that a CNA made him wait 30 minutes before assisting with toileting. The Director of Nursing confirmed that not all of the resident's complaints had been formally investigated and agreed that the resident should have been treated with respect and dignity, as outlined in the facility's policy.