Failure to Provide Dignified Care and Respect Resident Preferences
Penalty
Summary
Staff failed to provide care and services in a dignified manner for two residents. One resident, who was cognitively intact and exhibited verbal and physical behaviors, repeatedly requested assistance to return to their room from the dining area. The assigned CNA responded dismissively, telling the resident to wait increasing amounts of time and making comments such as, 'Ok, when you are on the floor I will come get you.' The resident continued to express discomfort and urgency, but the staff member did not respond in a respectful or timely manner, only assisting after requesting help from another staff member. Another resident, who was cognitively impaired and dependent on staff for activities of daily living, was not having their clothing changed daily as reported by their spouse. The spouse observed that the resident remained in the same clothes for multiple days and was not changed into night clothes before bed, despite a preference for sleeping in a hospital gown. The resident was observed resting in bed during the day still wearing day clothes, which was confirmed by the spouse and observed by surveyors.