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F0550
D

Failure to Provide Dignified Care and Timely Assistance with Toileting

Ionia, Michigan Survey Completed on 08-29-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to provide dignified care to two residents who required staff assistance with toileting and activities of daily living. One resident, who was cognitively intact and occasionally incontinent of urine, reported that after requesting help to be changed upon waking, a CENA responded with a dismissive comment and left the room, stating she would return after passing meal trays. The CENA did not return, and the resident, despite being instructed not to do so without assistance, changed herself an hour later. This incident left the resident feeling frustrated, helpless, and depressed. The CENA later acknowledged forgetting to return and admitted to similar behavior with another resident, after which a supervisor instructed her to prioritize resident care over passing meal trays. Another cognitively intact resident, also requiring staff assistance with toileting, reported waiting up to 30 minutes for help after activating the call light, and on one occasion waited over 20 minutes, resulting in incontinence. This experience made the resident feel dehumanized. The facility's policy on resident rights states that residents are to be treated with dignity and respect and have reasonable accommodation of their needs and preferences. The events described demonstrate a failure to honor these rights for the residents involved.

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