Failure to Treat Resident with Dignity and Respect During Administrator Interaction
Penalty
Summary
The deficiency involves the facility’s failure to treat a resident with dignity and respect during interactions with the Nursing Home Administrator (NHA). The resident, who had a diagnosis of depression and a BIMS score of 15/15 indicating normal cognition, reported that the NHA and two maintenance staff entered his room without knocking while he was about to eat. The resident stated the NHA leaned over his food tray, spoke to him in a loud, angry, and condescending tone about his window being open, and repeatedly called him by his roommate’s name even after being corrected. The NHA questioned the resident about his prior facility and, according to both the resident and the NHA’s own written statement, suggested that if the resident wanted his window open, he might prefer to return to his former facility. The resident perceived the NHA’s posture and tone as intimidating and felt the NHA was trying to have him removed from the facility. Interviews with staff and review of the facility’s investigation corroborated that the resident experienced the interaction as loud, aggressive, and disrespectful. A CNA reported that the resident, who was usually joking with staff, appeared emotionally different after the incident and told her the NHA was loud and aggressive, would not use his correct name, and leaned over his table and yelled at him. The social worker later learned the resident felt the NHA spoke to him in an intimidating, angry, and condescending way, and the ADON reported the resident told her he did not like how the NHA had spoken to him. In a follow-up interview, the resident stated he felt uneasy about being yelled at again or being called by the wrong name if he saw the NHA. The facility’s Abuse Prohibition and Prevention Program policy includes protection from humiliation, harassment, and threats of punishment, which contrasts with the resident’s description of the NHA’s conduct.
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