Failure to Ensure Resident Dignity During Therapy Session
Penalty
Summary
A deficiency occurred when a Physical Therapist Assistant (PTA) failed to treat a resident in a dignified and respectful manner during a therapy session. The resident, who was alert, oriented, and able to communicate needs, had diagnoses including multiple sclerosis, schizoaffective disorder bipolar type, stimulant use, and mild cognitive impairment. During a discussion about therapy progress and fatigue with an Occupational Therapist (OT), the PTA interrupted, approached the resident, leaned in close, and loudly stated, "Get off the drugs," before leaving the area. The resident later reported feeling disrespected by the comment, although they did not initially report the incident because they did not want the PTA to get in trouble. The OT, who witnessed the incident, did not immediately report it, believing the behavior was unprofessional but not abusive. The incident was only brought to the attention of the Director of Rehabilitation (DOR) about three weeks later during a meeting. The facility's policy on resident rights emphasizes the importance of dignity and respectful treatment, which was not upheld in this situation. Interviews with the PTA confirmed the statement was made, with the PTA stating he believed he had a good rapport with the resident and did not think the advice would be upsetting.