Failure to Treat Residents With Dignity When CNA Urinated in Shared Closet
Penalty
Summary
The deficiency involves a failure to honor residents' rights to dignity and respect when a CNA urinated in the shared closet of two cognitively intact residents. One resident, admitted with diagnoses including COPD, major depressive disorder, hypertension, hyperlipidemia, anorexia, and GERD, reported that the CNA attempted to change her incontinence brief while appearing very confused and using an ill-fitting glove that did not cover his pinky finger and thumb. She stated that she then observed the CNA open the closet door and heard him urinating, recognizing the sound of the urine stream hitting a box in the closet, which led her and her roommate to begin screaming. The second resident, admitted with COPD, chronic respiratory failure with hypoxia, DM, major depressive disorder, adult failure to thrive, tachycardia, GERD, and essential hypertension, also cognitively intact, reported that she observed the CNA enter the room, open the closet door, and proceed to urinate on a box in the closet with the door left open so she could see his side profile. She stated that she began screaming loudly, saw urine on his pants, and felt very upset, scared, unsafe, and confused about why he would do this. Facility staff, including the HR manager, confirmed that the CNA urinated in the residents' closet, and documentation in the employee record identified the conduct as a violation of the facility’s code of conduct and dignity policies.
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