Failure to Provide Interpreter Services for Non-English Speaking Resident
Penalty
Summary
The facility failed to provide a qualified interpreter for a resident who was primarily Spanish-speaking and had a documented communication problem related to language. According to the facility's Interpreter Services policy, staff with second language abilities were to be identified and utilized as interpreters to ensure non-English speaking residents could communicate their needs and preferences. However, record reviews and interviews revealed that interpreter services were not arranged for the resident during his stay. Instead, interpretation was primarily performed by family members present at the bedside. Interviews with the resident's daughter and spouse indicated ongoing issues with communication regarding the resident's abdominal pain, urinary problems, and concerns about inconsistent monitoring and care. The Social Services Assistant confirmed that no interpreter services were arranged, and the DON acknowledged that the lack of an interpreter could lead to miscommunication and affect the resident's quality of care. The deficiency was directly related to the facility's failure to follow its own policy and ensure effective communication for a resident with limited English proficiency.