Failure to Ensure Resident Dignity and Respect During CNA Care
Penalty
Summary
The deficiency involves the facility’s failure to protect a resident’s right to be treated with dignity and respect. The facility’s policy, “Your Resident Rights and Protections Under State and Federal Law” (dated 2022), states that residents have the right to be treated with consideration and respect in full recognition of their dignity and individuality. Resident #1, who was admitted with a diagnosis including cerebral infarction and had a BIMS score of 11 indicating moderate cognitive impairment, reported that a CNA was rude, disrespectful, always rushing, and did not provide care in a gentle manner. A Customer Concern Log and a Customer Concern/Grievance Communication Form dated 12/17/25 documented the resident’s report that the CNA was “too rough,” had a bad attitude, and did not stop the behavior despite the resident using good manners and expressing concerns. Interviews with the Administrator on 2/5/26 confirmed that CNA #1 did not provide gentle care and was rude and disrespectful to Resident #1, and that the resident’s right to dignity and respect was not honored. Progressive Discipline Forms for CNA #1 dated 12/16/25 and 12/18/25 documented continued poor work quality and productivity, including concerns from staff, residents, and family members about the CNA being too rough when handling patients, not getting patients out of bed timely, and not being present on the hallway at assigned times. Despite CNA #1 having completed Abuse, Neglect, and Exploitation training and Compliance Training on 8/31/25, as well as training on Patient/Resident Rights on 6/25/24, the facility failed to ensure that Resident #1 was consistently treated with dignity and respect during care interactions.
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