Failure to Ensure Resident Dignity Due to Inappropriate Language by CNA
Penalty
Summary
A deficiency was identified when a certified nursing assistant (CNA) used inappropriate and disrespectful language in the presence of a resident and an Ombudsman. The resident, who had diagnoses including type two diabetes, cellulitis, depression, morbid obesity, malignant neoplasm of the endometrium, and required varying levels of assistance with daily activities, expressed discomfort with the CNA's language, stating it was disrespectful, particularly in front of the Ombudsman. The resident's care plan included interventions to support psychosocial wellbeing and communication, yet the incident demonstrated a lack of adherence to these interventions. Further review revealed that the CNA had a history of similar unprofessional behavior, including previous incidents where inappropriate language was used with residents. Despite prior verbal warnings and education on professionalism and resident rights, the CNA admitted to using an expletive during the incident but did not perceive it as disrespectful. The facility's policy emphasized the right of every resident to be treated with respect and dignity, which was not upheld in this case.