Failure to Address Disruptive Resident Behaviors Affecting Homelike Environment
Penalty
Summary
The facility failed to address a resident's persistent yelling and disruptive behaviors, which deprived other residents of their right to a peaceful and homelike environment with comfortable noise levels. The resident in question had a history of insomnia, anxiety disorder, and major depressive disorder, and was documented by nursing staff to yell almost daily. Multiple residents and staff reported that the yelling occurred both day and night, disturbing sleep and causing distress to those nearby. Staff attempted interventions such as room changes and temporarily relocating the resident to other areas, but these measures did not resolve the issue. Despite the ongoing nature of the disruptive behaviors and their impact on other residents, there was no documented evidence that the behaviors were communicated to the psychiatric provider for further evaluation or intervention. Facility leadership, including the ADON, DON, and Administrator, were aware of the situation and acknowledged the negative effects on other residents, but no effective plan was documented or implemented to address the root cause of the behaviors. The facility's own policy stated that each resident had the right to a homelike atmosphere with comfortable noise levels, which was not maintained in this case.