Failure to Promote Resident Dignity and Timely Response to Care Needs
Penalty
Summary
Resident B, who had diagnoses including weakness, lack of coordination, osteoarthritis, congestive heart failure, and repeated falls, reported having to wait up to 30 minutes for staff to respond to their call light, particularly on weekends. The resident, who was cognitively intact and required substantial to maximal assistance with toileting and transfers, indicated that the delay resulted in incontinence of bowel and bladder, causing embarrassment when CNAs had to clean them. The resident was unable to get out of bed independently due to frequent falls and had reported the incident to staff at the time it occurred. Resident G, who had a history of left artificial knee joint, pain in the left knee, and muscle weakness, described an incident where a Qualified Medication Aide (QMA) responded in a dismissive and disrespectful manner when the resident requested pain medication after returning from the hospital. The QMA questioned the need for pain medication and made hurtful remarks, which negatively affected the resident's feelings. Both incidents reflect failures to promote dignity and respect for residents during care interactions.