Failure to Provide Nighttime Care and Assistance
Penalty
Summary
A resident with multiple diagnoses, including Parkinsonism and acute respiratory failure with hypoxia, was admitted to the facility and required assistance with self-care, mobility, and was dependent on staff for toileting and dressing due to incontinence. The resident's care plan included encouragement to use the call light, monitoring for pain, and provision of medication as needed. On the night in question, there was no documentation of care provided by any CNA from the evening through the following morning, indicating that the resident did not receive assistance with toileting or brief changes during the entire shift. An incident report and subsequent investigation confirmed that a CNA failed to provide care to the resident throughout the night, leaving the resident in a urine-soaked brief and not responding to the call light. The neglect was substantiated by the facility's investigation, and the administrator confirmed being notified of the incident and verified the neglect occurred during the specified shift.