Failure to Ensure Resident Dignity During Care and Meal Service
Penalty
Summary
Multiple residents were not treated in a dignified manner, as evidenced by both dining observations and staff performance documentation. During a lunch service, three residents at a table were served and began eating, while a fourth resident at the same table was not served until 12 minutes later. Another resident at the table repeatedly requested that the fourth resident be served, indicating awareness and concern among peers. Interviews with staff revealed a lack of awareness regarding the expectation that all residents at a table should be served simultaneously. Additionally, a review of a Certified Nurse Aide's employment file revealed several disciplinary notices related to interactions with residents. One resident reported feeling like a bother when requesting assistance with personal care, while another resident described the aide as aggravated and unhelpful during bedtime care. A third resident's spouse reported the resident was left soaked at lunchtime and was told by the aide to stop ringing the call bell. The aide's body language and mannerisms were noted as contributing to residents and families feeling upset during these interactions.