Failure to Maintain Adequate Resident Supplies and Dignity
Penalty
Summary
The facility failed to accommodate the needs and preferences of residents by consistently running out of essential supplies such as towels, pads, sheets, adult briefs, pull-ups, gloves, and blankets. Multiple residents reported frequent shortages, with some stating that they were left without appropriate incontinence products or had to use items that did not fit, causing discomfort, especially for those with existing skin issues. Staff interviews corroborated these accounts, indicating that supply shortages were a persistent issue, particularly at night, and that management was aware but had not resolved the problem. Staff sometimes had to purchase supplies with their own money or leave residents in bed due to lack of necessary items. Observations during the survey confirmed the lack of supplies, with supply rooms and carts found nearly empty of essential items. Residents were sometimes kept in their rooms or beds when supplies ran out, and some reported being cold due to a lack of blankets. Documentation also showed that grievances had been filed regarding the unavailability of appropriately sized incontinence products. The facility's own policy states that residents have the right to a dignified existence and to be treated with respect, kindness, and dignity, which was not maintained due to these ongoing supply shortages.