Failure to Provide Dignified Incontinence Care
Penalty
Summary
A resident reported that a CNA failed to provide dignified incontinence care by being rough and rushing during care, which resulted in the resident feeling sore and disrespected. The resident stated that she had communicated her concerns directly to the CNA, asking him to be gentler, but the behavior did not change. She also reported the issue to a nurse and other CNAs, but was unable to identify their names. Despite these reports, no grievance was filed on her behalf regarding the matter. The resident was cognitively intact and able to make reasonable and consistent decisions, with no behavioral issues noted. She had multiple complex medical diagnoses, including heart failure, respiratory failure, COPD, diabetes, and morbid obesity, and was frequently incontinent of urine and always incontinent of bowels. Facility policy, as provided by the Executive Director, states that residents have the right to be treated with dignity and respect, including during personal care. The failure to provide dignified care and to address the resident's grievance led to the deficiency.