Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0550
D

Resident's Right to Dignity Violated by Forced Transfer from Bed

Kansas City, Missouri Survey Completed on 01-02-2026

Penalty

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

A Certified Medication Technician (CMT) failed to honor a resident's right to self-determination and dignity by forcing the resident out of bed against their will. The resident, who had diagnoses including COPD, spondylosis, anemia, hyperlipidemia, and left-sided hemiplegia, was moderately cognitively impaired and reported increased leg pain on the day of the incident. Despite the resident's clear verbal refusal to get out of bed and participate in therapy, the CMT insisted, placed pants on the resident while they resisted, and physically moved the resident from a supine position to a wheelchair. An Occupational Therapist Assistant (OTA) witnessed the event and confirmed that the resident expressed a desire not to participate in therapy due to pain. The OTA observed the CMT using excessive force and commented on the roughness of the interaction. The resident later reported feeling uneasy and diminished by the experience, stating that the CMT spoke loudly and disregarded their wishes, which made them feel small and uncomfortable. During interviews, the CMT acknowledged being familiar with the facility's resident rights policy but admitted to not notifying the charge nurse when the resident refused to get out of bed. The CMT stated that they were concerned about medication administration and the resident's position but did not follow proper protocol for handling refusals. The Social Services Designee and the facility Administrator both confirmed that the resident's rights were not honored, and the incident was documented as a violation of the resident's right to dignity and choice.

An unhandled error has occurred. Reload 🗙