Failure to Honor Resident's Request for Female-Only Caregivers
Penalty
Summary
The facility failed to provide reasonable accommodation for a resident's expressed preference to receive care only from female caregivers. After an alleged incident involving a male caregiver, the resident clearly communicated to the Nursing Home Administrator that they did not want any males to work with them. The facility's own investigation documentation and self-report form indicated that the resident was to receive ADL care from females only. However, review of the resident's care plan showed that it was not updated to reflect this preference. Further review of the treatment administration record (TAR) revealed that, on multiple occasions following the resident's request, care was provided by two male staff members. Nursing notes also indicated that staff were made aware of the resident's preference, yet the care plan was not revised accordingly, and the preference was not consistently honored. The Nursing Home Administrator confirmed that the male staff members performed care on the resident and acknowledged that the care plan should have been updated.