Failure to Maintain Resident Dignity During Toileting and Repositioning
Penalty
Summary
The deficiency involves failures to treat residents with dignity and respect for their rights. For one resident admitted post–knee replacement surgery, a comprehensive assessment documented that the resident was cognitively intact and required substantial to maximum assistance with ADLs. During a phone interview, the resident reported that while using a bedside commode placed next to her bed, urine splashed onto the floor and her body, which she described as humiliating. She stated it appeared the bedside commode did not have the correct bottom or collection container attached. Subsequent observation of the facility’s supply closet and shower room revealed multiple bedside commodes stored without attached buckets or drainage collection containers, and the Nursing Home Administrator (NHA) acknowledged these findings. A second resident with mild cognitive impairment and dependence for ADLs was observed sitting in a wheelchair next to the nursing station, slouched over to the right side, and yelling for help to be repositioned. The resident was then observed being handled roughly by two staff members as they attempted to reposition and adjust the resident in the wheelchair in front of others who were watching. This interaction occurred in a public area near the nursing station, and the NHA was made aware of the observation.
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