Failure to Ensure Dignified, Respectful Care and Appropriate Staff Assignment After Resident Complaint
Penalty
Summary
The deficiency involves a failure to honor a resident’s right to dignity and respect during incontinence and ADL care. A cognitively intact resident with Parkinson’s disease, vascular dementia, hemiplegia, cerebral infarction, generalized anxiety disorder, major depressive disorder, and other psychiatric diagnoses reported that a CNA became upset when the resident needed to be changed. The resident stated that while in the bathroom on the toilet, the CNA questioned why the resident had waited so long to be changed, said the resident was “always doing this,” and then tossed a brief at the resident. The resident reported feeling hurt by this interaction and responded by cursing at the CNA. The resident later told Social Services about the incident, describing that a CNA had thrown a “pamper” at her and expressing uncertainty about what would happen and a desire not to be around that CNA anymore. Despite this reported incident and the resident’s expressed discomfort, facility records showed that the CNA continued to be assigned to the resident’s room on multiple subsequent dates. The resident reported that although the CNA apologized and the resident accepted the apology, the resident no longer felt good about what had happened and felt that the trust was gone. The resident stated that the CNA would come into the room, walk past without speaking, and provide care only to the roommate, prompting the resident to leave the room whenever the CNA entered. The Nursing Home Administrator later stated that the Abuse Coordinator was responsible for ensuring the CNA’s assignment was away from the resident and acknowledged being unaware that the CNA continued to have contact with the resident, stating that the aide should have been removed from the unit and that the resident had the right to feel comfortable in the bedroom. The facility’s Resident Rights policy states that the facility protects and promotes each resident’s right to a dignified existence, self-determination, and communication, and that residents have freedom of choice about how they wish to live their everyday lives and receive care.
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