Failure to Maintain Resident Dignity and Privacy Due to Lack of Bed Linens
Penalty
Summary
A deficiency was identified when a resident with severe cognitive impairment, congestive heart failure, metabolic encephalopathy, drug-induced subacute dyskinesia, and aphasia was repeatedly observed lying in bed without bed linens and with her brief exposed. The resident was dependent on staff for all activities of daily living and had limited range of motion in both upper and lower extremities. Multiple observations over several days confirmed the absence of bed linens and lack of coverage for the resident, compromising her privacy and dignity. Interviews with two CNAs and an LPN revealed that none of the staff were aware of any reason for the lack of bed linens, and no attempts were made to provide linens during the observations. The Director of Nursing confirmed that residents are to be provided with linens and covers, and acknowledged the findings related to the resident's dignity. The failure to provide appropriate linens and maintain the resident's privacy constituted a lack of respect and dignity in the care environment.