Failure to Ensure Dignified Dining Practices for Residents with Eating Difficulties
Penalty
Summary
The facility failed to ensure residents' rights to a dignified existence, self-determination, and appropriate communication, specifically in relation to residents with eating difficulties. Observations revealed that several residents, including those with severe cognitive impairment, moderate cognitive impairment, and intact cognition, were draped with bath towels instead of clothing protectors or napkins during meals. A large black plastic container labeled 'Towels' was present in the dining area, and the use of towels as clothing protectors was observed during both lunch and dinner meals. Interviews with residents indicated a preference for napkins or proper clothing protectors, with some expressing dissatisfaction with the available options. Staff interviews revealed inconsistent practices, with some CNAs stating they offered towels by default, were unaware of the location of clothing protectors, or simply used napkins from meal trays. The DON was uncertain about the availability of clothing protectors and acknowledged there were not enough for all residents, while the Administrator stated that towels were not appropriate and residents should be asked about their preference. The facility's policy on promoting and maintaining resident dignity requires all staff to treat residents with respect and to provide care in a manner that maintains or enhances quality of life. However, the observed use of bath towels in place of proper clothing protectors or napkins, without consistent resident choice or adequate supply of appropriate items, did not align with this policy. The deficiency was identified for multiple residents with varying cognitive and physical needs, and staff interviews confirmed that the practice was based on habit, lack of resources, or assumptions about resident capability, rather than individualized resident preference or dignity.