Failure to Promote Resident Dignity and Respect
Penalty
Summary
The facility failed to provide care that promoted dignity and respect for six out of fifteen residents reviewed. Multiple staff, including CNAs, were observed or reported to have interacted with residents in a manner that was dismissive, rough, or disrespectful. For example, one resident with severe cognitive impairment and total dependence for eating was observed by an RN to have his hands swatted away multiple times by a CNA when reaching for his food, with the CNA becoming increasingly aggressive and eventually shoving the resident's wheelchair away from the table. Another resident with intact cognition reported that a CNA's attitude made her feel like a bother when asking for help, discouraging her from seeking assistance. Other residents described similar negative experiences. One resident reported that a CNA rushed through care, left the room while the resident was speaking, and delayed responding to call lights, resulting in the resident having an accident and feeling terrible. Another resident stated that a CNA was rude, rough, and left her on the toilet for 20 minutes, which she felt ruined her dignity. Additional reports included complaints of negative attitudes, rushing through care, and not providing requested assistance such as water or help off the toilet. A resident with moderately impaired cognition reported being called a derogatory name by staff after spilling food and described staff as having a short and rude tone. Hospice staff corroborated concerns about staff demeanor and responsiveness, noting that suggestions to improve the resident's mood and care were dismissed due to staffing issues. Facility policy requires staff to treat residents with respect and dignity, but the documented actions and attitudes of certain staff members did not align with these expectations, resulting in a failure to maintain or enhance residents' quality of life.