Failure to Honor Resident Dignity and Preferences
Penalty
Summary
The facility failed to provide care and services in a manner that respected the dignity and preferences of three residents. One resident with hemiplegia and depression reported that there were no chairs in her room for visitors, and observation confirmed the absence of chairs. Another resident with an overactive bladder, cataract, and depression was observed in bed and stated she could not watch television because the remote control was out of reach; this was confirmed during two separate observations. A third resident, who had a history of stroke, muscle weakness, and depression, stated he could not watch television because it was mounted behind his headboard and out of his field of vision, a situation that persisted over multiple observations since his readmission. Additionally, during a group interview, all seven residents present reported that they often did not know what meals they would be receiving. Observation revealed that the posted menus on the nursing unit were not updated to reflect the current date or meal, and a review of the facility menus confirmed discrepancies between the posted and actual menus. These findings demonstrate a failure to honor residents' rights to dignity, self-determination, and communication.