Failure to Accommodate Resident's Preference for Care Team Assignment
Penalty
Summary
The facility failed to honor a resident's preference regarding their care team by not removing a specific nurse from the resident's care, despite a request from the resident's family member. The family member had asked on 4/11/25 for a particular LPN to be removed from the resident's care team, but records showed that the LPN continued to administer medications and perform assessments for the resident after this date. The resident in question had severe cognitive impairment, as indicated by a BIMS score of zero, and a history of behavioral problems, including refusing care and aggression toward staff. Interviews with facility leadership revealed that there was no clear documentation or explanation as to why the LPN was not removed from the resident's care team following the family's request. The Director of Nursing stated that the usual procedure would involve a meeting with the family to discuss concerns, but could not provide further information about this specific case. The facility's policy on resident rights, which includes the right to reasonable accommodation of needs and preferences, was reviewed but not followed in this instance.