Failure to Promote Resident Dignity and Respect
Penalty
Summary
The facility failed to promote and maintain resident dignity for two residents. For one resident with Parkinson's disease and bowel issues, a family member reported that a Certified Resident Care Assistant (CRCA) made a disrespectful comment about the resident's condition in his presence, describing the situation as 'gross.' The family filed a grievance, but the grievance log only documented concerns about missing supplies and dietary needs, not the staff's comment. Interviews with facility leadership revealed inconsistent recollections about the incident, with no documentation of the alleged disrespectful behavior, though a verbal warning was later issued to the CRCA for customer service concerns. The lack of clear documentation and follow-up on the dignity-related incident contributed to the deficiency. Another resident, who was cognitively intact and required significant assistance with activities of daily living, reported that insufficient staffing during night and early morning shifts led to long wait times for call lights to be answered, sometimes up to an hour. The resident expressed feeling unimportant and forgotten due to these delays and reported that staff often responded by saying they were too busy or the only CNA on the floor. This lack of timely assistance and communication failed to support the resident's dignity and emotional well-being.