Failure to Maintain Resident Dignity During Incontinence Care
Penalty
Summary
Facility staff failed to ensure that a resident was treated with respect and dignity during activities of daily living (ADL) incontinence care. The resident, who had no cognitive impairment and multiple medical diagnoses including a right femur fracture, joint replacement aftercare, diabetes, and chronic kidney disease, reported to mental health services that a CNA expressed frustration about having to change him frequently due to loose bowel movements. The resident stated that the CNA told him she could not keep coming in to change him, which made him feel uncomfortable. Additionally, a family member reported that the CNA or nurse was rough during care and slammed items down, further upsetting the resident. Upon investigation, the CNA admitted to spraying air freshener in the room and singing while providing care, but denied being rude or slamming items. The CNA did not perceive her actions as unprofessional or disrespectful, despite the resident's feelings of embarrassment and discomfort. Facility documentation, including a grievance form and counseling record, confirmed the resident and his daughter reported the CNA's behavior as rude and insensitive, specifically mentioning the use of air freshener and mumbling during care. The facility's policy defines verbal and mental abuse to include actions that humiliate or use disparaging terms, which were relevant to the resident's experience.