F0550

D

Failure to Honor Resident Preference for Female CNA During ADL Care

Inglewood, California Survey Completed on 02-28-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to honor a resident’s clearly documented preference not to receive ADL care from male CNAs. The resident, who had diagnoses including cerebral infarction, DM, and dementia, was determined in a recent H&P to have the capacity to understand and make decisions. Her care plan, titled “Resident Refuses Male CNA Care,” specified that she would receive required care while maintaining dignity, comfort, and emotional well-being, and directed staff to assign a female CNA for personal care, document refusals of care, and respect her preference for female CNAs. The resident’s MDS showed she required varying levels of assistance with personal hygiene, dressing, bathing, toileting hygiene, footwear, oral hygiene, and eating, indicating she depended on staff for multiple ADLs.

Despite this, review of the nursing assignment sheet for a specific night shift showed that a male CNA was assigned to provide ADL care to this resident. Staff interviews confirmed that the resident’s preference to refuse care from male CNAs was widely known among facility staff. The DON acknowledged that the resident’s preference for female CNA care was in the care plan and stated that this preference should have been honored, regardless of staffing changes due to multiple staff calling out sick. The facility’s undated “Quality of Life – Dignity” policy stated that residents will always be treated with dignity and respect and that the facility is committed to honoring resident choices, preferences, values, and beliefs throughout their stay. The assignment of a male CNA in contradiction to the resident’s expressed and care-planned preference constituted the cited deficiency and was noted as having the potential to affect the resident’s psychosocial well-being.