Failure to Honor Resident's Dignity and Bedtime Preferences
Penalty
Summary
A deficiency occurred when a resident, who was cognitively intact and had multiple medical diagnoses including hypertension, chronic kidney disease, and diabetes, was not treated with dignity and respect. The resident's care plan indicated it was very important for her to choose her own bedtime, and she required partial to moderate assistance for transfers. On the day of the incident, while the resident was still eating dinner, a CNA entered the room, removed her dinner tray, and insisted that the resident go to bed immediately or not at all. The resident's son objected, stating it was too early and the resident was still eating. The CNA became angry, yelled, and cursed at the resident's son in front of the resident, then left the room and continued to curse loudly in the hallway. Interviews confirmed that the CNA's behavior was inappropriate and unprofessional, and that the resident was told she had to go to bed much earlier than her preferred time. The DON acknowledged the incident and verified that there was no documentation of the resident's meal intake for that evening, nor could it be confirmed whether the resident had finished her meal before the tray was removed. Facility policies reviewed stated that residents are to be treated with dignity and respect at all times and have the right to retire and rise according to their reasonable requests.