Staff Standing While Feeding Total-Care Residents During Meals
Penalty
Summary
Staff failed to honor residents' rights to a dignified existence and self-determination during meal service by standing while feeding multiple dependent residents. Resident #8, admitted on 10/12/2022 with diagnoses including other muscle spasm, complete C5-C7 quadriplegia, and other chronic pain, was observed on 01/12/2026 at 12:39 p.m. being fed by S7 CNA, who was standing during the meal. In a subsequent interview, S7 CNA stated that Resident #8 was total care and required assistance with meals. Resident #9, admitted on 11/19/2025 with multiple contractures, quadriplegia, other muscle spasm, chronic pain syndrome, age-related nuclear cataract, myopia, and primary generalized osteoarthritis, was observed on 01/12/2026 at 12:44 p.m. being fed by S8 CNA, who was standing, and again on 01/13/2026 at 12:26 p.m. being fed by S10 CNA, who was also standing. Both CNAs reported that this resident was total care and required assistance with meals. Resident #10, admitted on 12/26/2025 with unspecified dementia, generalized muscle weakness, lack of coordination, other symbolic dysfunctions, dysphagia, and idiopathic normal pressure hydrocephalus, was observed on 01/13/2026 at 12:25 p.m. being fed by S9 CNA, who was standing. S9 CNA stated that this resident was total care and required meal assistance. The DON (S2) confirmed that all staff were aware they were not to stand while feeding residents and that these CNAs should not have been standing to feed residents.
