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F0550
D

Failure to Treat Resident with Dignity and Respect During Care

Downey, California Survey Completed on 06-24-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

A deficiency occurred when a certified nursing assistant (CNA) failed to treat a resident with dignity and respect during care. The resident, who had diagnoses including schizophrenia, hypertension, and dysphagia, and was assessed as having moderately impaired cognition and being dependent on staff for activities of daily living, reported that the CNA was rough and abrupt while assisting her back into bed after personal hygiene care. The resident stated that the CNA spoke in a disrespectful tone, did not provide care gently, and did not offer further assistance or reassurance after the resident voiced discomfort and a headache. The CNA later acknowledged being abrupt and not as gentle or respectful as required, citing a desire to finish tasks quickly before the end of her shift. The CNA also failed to notify the nurse of the resident's complaint of head pain at the time. The incident was reported by the resident to social services staff, who confirmed the resident's concerns about future care from the CNA. The registered nurse was informed and assessed the resident, who reiterated that the CNA had been rough and disrespectful. Facility policy required staff to treat residents with kindness, respect, and dignity, and to report any complaints of pain or distress immediately. The actions and inactions of the CNA did not align with these policies, resulting in the resident feeling unvalued and disrespected.

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