Failure to Accommodate Resident Rest Preferences During Non-Emergent Room Remodeling
Penalty
Summary
Surveyors found that the facility failed to reasonably accommodate residents' needs and preferences for scheduled rest periods in their beds during non-emergent room remodeling. On the survey date, construction was observed in rooms 123-127, and residents assigned to the first floor were relocated to a second-floor lounge area. Four of five reviewed residents were observed seated in the second-floor lounge and reported being required to remain there for extended periods, approximately 8–12 hours, without routine access to their rooms or beds. They stated they were told they could not remain in their rooms while work was being completed. These residents reported limited access to rest, privacy, and normal routines, including the ability to lie down, and stated they remained seated in wheelchairs for prolonged periods. The Nursing Home Administrator and DON confirmed that residents were moved due to concerns about dust particles and construction safety, and that the remodeling was not emergent. They further confirmed that residents were not offered alternative areas to rest upon request. Clinical record review for the four affected residents showed no documented evidence that scheduled rest periods in bed, consistent with resident preference, were discussed or arranged.
