Failure to Maintain Resident Dignity Related to Soiled and Exposed Clothing
Penalty
Summary
A resident with a history of stroke, left side hemiplegia, Parkinson's disease, major depressive disorder, hypertension, and anxiety disorder, who was dependent on staff for activities of daily living (ADLs) including toileting, bathing, dressing, and required substantial to maximum assistance with eating, was observed multiple times throughout the day with dignity concerns. The resident was seen sitting in a wheelchair with his shirt raised, exposing his abdomen, back, and sides, as well as his incontinent brief. There was a wet red stain and scrambled eggs on his clothing and body, which remained unaddressed for several hours. A white towel was later placed over the front of his shirt, but the shirt remained raised and soiled, and the resident continued to be exposed in public areas. Staff interviews confirmed awareness of the resident's soiled and exposed state, with a CNA acknowledging the presence of dried stains and food on the resident's clothing and body. The resident's care plan indicated the need for assistance with personal hygiene, dressing, and eating, but these needs were not met in a manner that maintained the resident's dignity. The Director of Nursing also acknowledged that the resident's shirt should have been pulled down and changed.