Failure to Promote Resident Dignity Due to Delayed Response to Care Needs
Penalty
Summary
The facility failed to provide care and services that promote dignity and respect for two residents reviewed for dignity and respect. One resident, who was cognitively intact and had a diagnosis of major depressive disorder, reported experiencing call light wait times of up to 30 minutes. She stated that the delays resulted in her soiling her brief and having to wait a long time for staff to change it, which made her feel degraded. Staff interviews confirmed that this resident did not refuse care. Another resident, with moderate cognitive impairment and a diagnosis of a depressive episode, also reported long wait times for staff to change her brief, describing an incident where she felt she waited "forever" and expressing that it made her feel like an old lady. Staff, including CNAs and an LPN, acknowledged that residents sometimes complained about long call light wait times, and confirmed that this resident did not refuse care. These findings indicate that the facility did not consistently honor residents' rights to dignity and timely assistance.