Failure to Respect Resident Dignity During Toileting Assistance
Penalty
Summary
A deficiency was identified when a resident who was always continent of bowel and bladder and required substantial to maximal assistance for toilet transfers reported experiencing long wait times for call light responses when needing toileting assistance. The resident stated that on one occasion, she waited about an hour for help, resulting in soiling her pants. Additionally, some night staff reportedly told her to use her brief if she could not wait, which made her feel bad even though staff were kind and cleaned her up. The DON acknowledged ongoing monitoring of call light response times, stating that audits had not shown problems and that a reasonable response time was 5-10 minutes. The NHA was aware of call light concerns but had not yet conducted an ad hoc review.