Failure to Ensure Residents Wore Proper Footwear in Common Areas
Penalty
Summary
Two residents were observed in common areas of the facility without proper footwear, which is inconsistent with their care plans and facility policy regarding dignity and personal possessions. One resident, diagnosed with dementia and requiring assistance with personal care, was seen exiting the dining area without socks or shoes after having spent the entire morning in the dining room. A CNA acknowledged the resident's lack of footwear and stated she was just beginning to assist the resident with socks and shoes. The Director of Nursing confirmed the expectation that this resident should have shoes and socks on daily, especially since the resident walks the hallway. The resident's care plan specifically included interventions to ensure proper footwear and nonskid socks prior to activities of daily living. Another resident, with diagnoses of Alzheimer’s disease and dementia and also requiring assistance with personal care, was observed sitting in the dining room without shoes. A CNA reported being unable to find the resident's shoes at the start of the shift. Upon searching the resident's room, the shoes were found in a plastic bag on a closet shelf, possibly placed there by the resident's daughter. The Director of Nursing reiterated the expectation that all residents should have socks and shoes on. The care plan for this resident also included interventions to ensure the resident wore appropriate footwear to promote safety and mobility during ambulation, wheelchair use, and transfers.