Failure to Maintain Resident Dignity During Shower Care
Penalty
Summary
A deficiency occurred when a certified nursing assistant (CNA) failed to treat a resident with respect and dignity during the provision of care. According to interviews and observations, the CNA repeatedly yelled "Shut up" at a resident while attempting to provide a shower. This incident was witnessed by another resident, who reported hearing the yelling from her room next to the shower area, and by an LPN who observed the CNA getting loud and telling the resident to be quiet. The LPN intervened and instructed the CNA to calm down. The Director of Nursing (DON) confirmed receiving a report of the incident, which included the CNA yelling at the resident and telling her she did not need to go to the bathroom, with the yelling continuing down the hallway. The resident who was the subject of the incident was described as mildly cognitively impaired, dependent on staff for activities of daily living related to showers, and diagnosed with non-Alzheimer's dementia. Despite the incident, the resident later reported no concerns with care and stated that staff were always nice to her. Another resident who overheard the incident was cognitively intact and had diagnoses including depression and anxiety. The facility's policy on dignity requires staff to promote care in a manner that maintains or enhances each resident's dignity and respect, which was not followed in this instance.