Failure to Maintain Resident Dignity During Personal Care
Penalty
Summary
A deficiency occurred when a resident, who was cognitively intact and had a history of cerebral infarction, was subjected to inappropriate and disrespectful comments by two Certified Nurse Assistants (CNAs) during personal care. The resident was preparing for a shower when her gown slipped off her shoulder, partially exposing her chest. One CNA made a comment suggesting the resident wanted male attention, while another remarked on the resident's weight and clothing size during dressing. These comments were made in the presence of the resident and caused her to feel embarrassed and uncomfortable. The resident reported the incident to Social Services, stating that the remarks hurt her feelings and made her feel bad about herself. The facility's policy on Resident Rights, which requires all employees to treat residents with kindness, respect, and dignity, was not upheld in this situation. The resident specifically requested that the two CNAs no longer assist with her care due to the emotional impact of their comments. Interviews with the involved staff revealed that one CNA admitted to making a comment as a joke, while the other denied making any direct or disrespectful remarks. Despite these statements, the resident's account and the facility's investigation confirmed that the comments were made and were perceived as demeaning. The incident was documented and reported to the appropriate authorities as required by facility policy.