Failure to Maintain Resident Dignity During Meal Assistance
Penalty
Summary
Staff failed to provide care in a manner that promoted dignity and respect for two residents during dining observations. Both residents were observed in bed while being assisted with meals by a CNA who stood over them, resulting in the residents' eye level being at the CNA's chest. One resident had the head of the bed elevated to approximately 90 degrees, while the other had it at about 45 degrees. After a few spoonfuls of food, both residents indicated they were done eating. The CNA confirmed that she was aware of the expectation to sit at eye level with residents during feeding, as taught in her training, but did not follow this practice during the observed incidents. The facility's policy on feeding emphasizes the importance of creating a pleasant dining experience, including sitting next to the resident, making eye contact, and engaging in respectful conversation. The Director of Nursing acknowledged the observations and stated that staff are expected to sit and maintain eye level with residents during meals. The failure to follow these procedures was directly observed and confirmed through staff interviews and review of facility policy.