Failure to Treat Residents with Dignity and Respect During Falls and Assistance Requests
Penalty
Summary
The deficiency involves failure to honor residents' rights to dignity and respect in interactions with nursing staff. One resident with Alzheimer's disease, depression, and anxiety, and moderately impaired cognition, had a history of frequent falls. After an unwitnessed fall, the resident was found on the floor beside the bed. Multiple staff witness statements documented that an LPN used profanity and harsh language toward the resident in connection with these falls. One CNA reported that the LPN asked the resident, "Why do you keep doing this sh*t?" and repeatedly questioned why he was on the floor, to which the resident responded by calling himself an "*sshole." An RN reported hearing the LPN say in a harsh and annoyed tone that she was sick of this "sh*t," that the resident's "*ss is always on the God d*mn floor," and that the situation was "bullsh*t," with the resident again apologizing and calling himself an "*sshole." The LPN denied making inappropriate statements, but the witness accounts were documented in the facility-reported incident file. A second resident, admitted with respiratory failure and heart disease and assessed as cognitively intact, reported concerns about the same LPN's attitude and behavior on a grievance form. The resident stated that the LPN had a very bad attitude, told the resident to stay in the room, did not respond to a request for medication, and was "very snotty." In a subsequent interview, this resident described an incident in which another resident across the hall had fallen and was calling out for help for approximately 15 minutes. After going in a wheelchair to find help and notifying a CNA, the resident reported that, while returning to the room, the LPN repeatedly told the resident to go back to the room and said that "enough is enough," which made the resident feel angry. The facility's resident rights policy states that residents have the right to be treated with respect and dignity.
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