Resident's Right to Caregiver Choice Not Honored
Penalty
Summary
A resident reported having a conflict with a newly assigned Certified Nurse Aide (CNA), describing the CNA as having a bad attitude and being rude. The resident communicated their concerns to the Unit Manager and was assured that the CNA would no longer be assigned to their care. Despite this, staffing records and CNA charting documentation confirmed that the same CNA was assigned to the resident's care on at least two subsequent occasions, including after the initial complaint was made. The resident was unable to identify the CNA by name but recognized them by their behavior and reported the issue to the State Agency when the CNA was again assigned to their care. Interviews with facility staff, including the Unit Manager and Administrator, confirmed awareness of the resident's complaint and the expectation that the CNA should not have been assigned to the resident following the complaint. However, review of staffing sheets and care documentation showed that the CNA continued to be assigned to the resident's unit and provided care. The facility's own policy states that residents have the right to a dignified existence, self-determination, and freedom of choice regarding their care, which was not upheld in this instance.