Failure to Maintain Resident Dignity and Access to Call Light
Penalty
Summary
The deficiency involves the facility’s failure to treat a resident in a dignified manner and to honor her rights to self-determination and communication. The resident was an adult female admitted with an infected right hip replacement and difficulty walking. In an interview, she reported that very early one morning a CNA entered her room and told her to stop using her call light, stating that the CNA had already been in the room multiple times and would not be coming back again. The resident stated that the CNA then manipulated her bed controls and call light and left the room. The resident later awoke around 5:00 AM needing to use the bathroom and was unable to locate her call light to request assistance. According to the resident, because she could not find the call light, she had a bowel movement and urinated in her undergarments, which left her feeling devastated and embarrassed. Another CNA, who entered the room after shift change that morning, reported smelling feces, finding the resident very upset, and observing that the sheets were saturated with urine and feces. This CNA also reported that the call light was wrapped together with the bed remote, on the floor, out of the resident’s sight and reach. The CNA implicated in the incident was no longer employed at the facility and was not available for interview.
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