F0550

D

Failure to Treat Cognitively Intact Resident With Respect and Dignity

Saint Louis, Missouri Survey Completed on 11-17-2025

Penalty

No penalty information released

Summary

The facility failed to honor a resident’s right to be treated with respect and dignity when an LPN spoke rudely to a cognitively intact resident. The facility’s Resident Rights policy dated 4/26/23 stated that residents must be treated with kindness, respect, and dignity, and that resident rights include respect and dignity. Resident #61’s quarterly MDS dated 9/4/25 showed the resident was cognitively intact and had diagnoses of depression and a psychotic disorder. During an observation and interview on 10/1/25 at 8:32 A.M., the resident was sitting up in bed drinking coffee when LPN A entered after knocking and handed the resident a medication cup. After taking the medication, the resident began to set the cup down, and when LPN A attempted to take the cup, the resident stated he/she could take care of it him/herself. LPN A’s facial expression changed to appear irritated, and the LPN turned his/her back to the resident, began walking away, and stated in a clearly audible, rude tone, “see the type of attitude we have to deal with, you don’t talk to us that way,” before exiting the room and closing the door. The resident then reported that staff can be rude, that they treat him/her as if he/she has dementia, and that he/she is able to do things independently. In a subsequent interview, the Administrator, DON, and Corporate Administrator stated that staff should speak to residents with respect, face residents when speaking, and should not criticize them.

This deficiency involved one resident out of a sample of 24, with a total facility census of 121, and was based on observation, interview, and record review showing that the LPN’s rude and critical verbal response and demeanor toward a cognitively intact resident did not comply with the facility’s Resident Rights policy requiring respect and dignity.