Failure to Maintain Resident Dignity and Respect
Penalty
Summary
The facility failed to ensure that residents were treated with respect and dignity, as evidenced by multiple observations and interviews involving three residents. One resident, who was alert and oriented but required assistance with activities of daily living (ADLs) due to physical impairments, was observed lying in bed uncovered and naked from the waist down, visible from the hallway. A CNA who noticed the situation did not intervene, stating the resident was not assigned to her care, and confirmed the resident's exposed state. Another resident, who was alert but cognitively impaired and dependent on staff for ADLs, was observed sitting in her room with her cholecystostomy drainage bag exposed and visible from the hallway. The resident reported that her drainage bag was never covered. An LPN confirmed that elimination bags should be covered for resident dignity and verified the observation at the time. A third resident, with quadriplegia and other significant medical conditions, required staff assistance for ADLs. A CNA delivered this resident's breakfast tray and placed it next to a urinal that was three-quarters full of urine, then left the room without emptying the urinal. The resident expressed discomfort with eating near the full urinal and stated he would not eat his breakfast because of it. The CNA and the LPN/Unit Manager both confirmed that the urinal should have been emptied before placing the meal tray nearby. Facility policy requires the maintenance of residents' personal dignity, well-being, and self-determination.