Failure to Honor and Communicate Resident Preference for No Male Caregivers
Penalty
Summary
The deficiency involves the facility’s failure to honor and communicate a cognitively intact resident’s expressed preference regarding personal care providers. The resident, admitted with a left shoulder fracture, had an MDS dated 5/7/2025 showing a BIMS score of 13/15, indicating intact cognition. On 5/18/2025, the resident informed an RN that they did not want any male caregivers. The RN told the resident she would ensure that no male caregivers would provide care. This interaction was documented in a Verbal Coaching/Education form dated 5/23/2025, which identified the reason for coaching as the RN being notified of the resident’s preference for no male caregivers. Despite this expressed preference, a review of the resident’s medical record showed no documentation of the preference, no corresponding entry in the care plan, and no evidence that the preference was communicated in shift-to-shift reports. As a result of this lack of documentation and communication, a male CNA provided care to the resident on 5/19/2025, contrary to the resident’s stated wishes. During an interview, the LNHA, with the DON present, stated they were unaware of the preference request until the investigation and confirmed that the nurse did not follow the resident’s preferences when notified. The LNHA acknowledged that this failure occurred at the nursing level and that the facility’s policy allows residents to choose healthcare providers consistent with their interests, values, and personal care needs.
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