Failure to Maintain Professional Appearance and Proper Identification, Affecting Resident Dignity
Penalty
Summary
The facility failed to promote care in a manner that enhanced a resident's dignity and respected resident rights when a nurse did not follow the facility’s dress code and identification policies and did not properly announce herself before entering a resident’s room. Facility policy required that each resident be treated with respect and dignity in an environment that promotes quality of life, and the employee handbook specified that all staff must maintain a professional appearance, including a prohibition on sweatpants and a requirement for non-revealing blouses. Nursing staff were required to wear a uniform or scrub suit, with supervisory staff responsible for determining appropriateness, and all employees were to wear proper identification. During an observation on the second-floor nursing unit, an LPN was seen wearing sweatpants with Hello Kitty appliques and a short blue and white striped shirt that exposed her abdomen, and she was not wearing a name tag. In an immediate interview, the LPN confirmed her role and acknowledged she was supposed to wear a name tag, stating it might be in her purse or on her jacket. Later, during an interview with a resident in her room, the same LPN entered without knocking, still dressed in the same attire without a name tag, did not identify herself, and only stated that she had the resident’s medications. In a subsequent interview, facility leadership acknowledged that the LPN was not appropriately dressed and confirmed that staff were expected to wear proper identification and identify themselves prior to entering a resident’s room.
