Failure to Treat a Resident with Dignity and Respect During Toileting Request
Penalty
Summary
The deficiency involves the facility’s failure to ensure a resident’s right to be treated with dignity and respect. Facility policy on Resident Rights and Dignity Management states that each resident is to be treated with respect and dignity in a manner that maintains or enhances quality of life and recognizes individuality. Despite this policy, video footage and interviews confirmed that a CNA spoke to a resident in a rude tone and told her to “shut up” and “hush your mouth” when she was asking for assistance to use the restroom. Resident #1, who had an admission date of 03/13/20 and diagnoses including Type 2 diabetes mellitus and unspecified sequelae of cerebral infarction, had a BIMS score of 15 on a recent MDS, indicating no cognitive deficits. On the date of the incident, she pressed her call light for help to go to the bathroom, then wheeled herself into the hallway when assistance was not immediately provided. She was described by staff and herself as impatient, impulsive, and often demanding, frequently pressing her call light and going into the hall to seek help, particularly for toileting, which required a two-person assist with a lift. According to the Administrator’s review of video footage and interviews with the resident, ADON, and CNA, the resident was calling out in the hallway for help to the restroom when the CNA, who was not assigned to her that day, approached and responded to her in a rude manner. The CNA admitted that the resident was “mouthing off,” and he told her to “shut up” and to “hush her mouth,” acknowledging that this was unprofessional and that he should have walked away and allowed another staff member to assist. The ADON confirmed that, although the resident could be demanding and could provoke staff anger, staff were still required to treat her with dignity and respect at all times, and that the CNA’s behavior toward the resident did not meet this standard.
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