Failure to Maintain Resident Dignity During Repositioning and Meal Service
Penalty
Summary
On 6/23/25, a certified nursing assistant (CNA) was observed repositioning a resident in a wheelchair by grabbing the waistband of the resident's pants and pulling them up, which caused the resident's incontinence brief to shift and bulge in the crotch area. The CNA acknowledged during an interview that this method was inappropriate and that a gait belt should have been used instead. This action failed to maintain the resident's dignity and respect during care. On 6/26/25, another resident was observed sitting in a wheelchair in the aisle between two tables during breakfast, watching other residents eat. The resident was not offered a seat at a table or served breakfast until another resident pointed out the situation to staff. When the resident was finally seated and served breakfast, they were not provided with silverware until several minutes later. These observations were confirmed by the facility administrator at the time.