Delayed Call-Light Response and Disrespectful Communication Undermine Resident Dignity
Penalty
Summary
The facility failed to honor a resident's right to be treated with dignity and respect when staff delayed responding to her call light and told her not to call for help. The resident, who had been admitted with fractures of the left hand and left radius, muscle weakness, and anxiety, was cognitively intact and required staff assistance with toileting, bed mobility, and transfers, and used a wheelchair for mobility. According to a grievance initiated by the Social Worker, the resident reported that CNAs were not changing her in a timely manner and that night-shift aides were not coming in promptly; when they did respond, they told her not to ring out. In an interview, the resident stated that nursing assistants made her wait over 30 minutes for incontinence care after she used her call light and told her not to call for help, which made her upset and mad. She could not recall the exact date of the incident but confirmed that a grievance had been submitted. The DON and Administrator later indicated that their investigation showed that two nurse aides assigned to the resident’s hall during the night shift were delayed in providing care and admitted to telling the resident not to call out for assistance, stating they did so in a joking manner. The DON acknowledged that these staff did not treat the resident with respect.
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