Undignified Comments by RN During Intimate Care to Two Residents
Penalty
Summary
The deficiency involves staff failure to honor residents’ rights to be treated with respect and dignity during personal care. Resident 1, admitted with type 2 diabetes and depression, had a care plan dated 7/25/25 identifying risk for decreased psychosocial well-being and adjustment issues, with directions for staff to use appropriate and effective communication, encourage personal preferences, and honor quality-of-life choices to ensure dignity and respect. During a routine skin assessment on 2/6/26, Resident 1 reported that a registered nurse (Staff 6) stated, “don’t fart on me, a lot of people fart on me,” while examining the resident’s peri-area and areas near the anus. Resident 1 reported feeling disrespected, uncomfortable, and undignified, and stated the comment was unnecessary and did not want Staff 6 to provide care in the future. A CNA (Staff 7) corroborated hearing Staff 6 tell Resident 1 not to fart in his/her face during the skin assessment. Resident 5, admitted with cellulitis and agoraphobia, had a care plan dated 1/23/26 identifying risk to psychosocial well-being, including increased agitation and tearfulness, and directing staff to honor the resident’s preferences and choices to promote dignity and decrease anxiety. Resident 5 reported that the same RN (Staff 6) made unprofessional comments and “weird jokes” during care, including asking the resident not to fart on him while performing routine catheter care, which made the resident feel awkward and uncomfortable. In an interview, Staff 6 confirmed using the statement, “I am the registered nurse today. I have a couple of rules, don’t fall on me, don’t fart on me,” with all residents during care, explaining he believed it was humorous and a way to establish rapport. The Administrator (Staff 1) stated that Staff 6’s behavior and comments, including the phrase “don’t fart on me,” did not honor resident dignity and were inappropriate when providing resident care.
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