Failure to Promote Resident Dignity During Medication Administration and Personal Care
Penalty
Summary
The facility failed to provide care in a manner that promoted dignity for two residents. For one resident, a Licensed Practical Nurse (LPN) administered medications, including eye drops and an inhaler, in the hallway while other residents were present. The Director of Nursing (DON) confirmed that it was the facility's expectation that medication administration should not occur in the hallway and should be offered in private to promote resident dignity. Another resident reported frustration and embarrassment due to the facility frequently running out of washcloths, resulting in staff using pillowcases or towels for personal hygiene care. Multiple observations confirmed that washcloths were not available in various linen closets and the laundry department over several days. Staff interviews corroborated the ongoing shortage, with staff expressing difficulty in providing care and residents voicing concerns about the lack of appropriate supplies for personal hygiene.