Failure to Maintain Resident Dignity and Hygiene
Penalty
Summary
Facility staff failed to promote dignity and respect for a resident by not providing clean clothing, linens, and timely incontinence care. The resident, who had diagnoses including End Stage Renal Disease, dependence on hemodialysis, and chronic obstructive pulmonary disease, required moderate to maximal assistance with most activities of daily living. During observation, the resident was found in the hallway with unzipped pants and a stained t-shirt, and reported feeling embarrassed and uncared for due to lack of staff assistance in maintaining a presentable appearance, especially when attending dialysis appointments. The resident also stated that incontinence briefs were often left soiled for extended periods, leading to periods without any incontinence protection. Further observation revealed the resident's clothing strewn on the floor and a bed with a large yellow stain on the sheets. A Licensed Vocational Nurse confirmed the resident's unkempt appearance and acknowledged that the resident's rights and dignity were not being honored. The Director of Nursing also stated the importance of cleanliness for hygiene and dignity. Facility policies reviewed indicated that residents should be provided with a clean, comfortable, and homelike environment, and be treated with respect and dignity, which was not upheld in this instance.