Failure to Promote Dignity During Assisted Feeding
Penalty
Summary
The facility failed to ensure a resident was treated with dignity during feeding assistance. The facility’s undated Resident Rights policy stated that residents have the right to be treated with dignity and respect in a manner that promotes or enhances quality of life. Resident #19 was admitted with diagnoses including Parkinsonism, spastic quadriplegic cerebral palsy, and dementia, and a quarterly MDS assessment showed a BIMS score of 12, indicating moderate cognitive impairment. The resident’s comprehensive care plan, revised 6/30/2025, documented an ADL self-care performance deficit related to cerebral palsy and Parkinson’s disease and indicated the resident required total assistance with eating. During an observation on 9/28/2025 at 12:47 PM, CNA B was seen standing over Resident #19 while assisting with the lunch meal, and during an interview at 12:56 PM, the DON confirmed that CNA B failed to promote dignity for the resident by standing over the resident during feeding assistance. This conduct constituted a failure to honor the resident’s right to be treated with dignity and respect and to receive assistance with eating in a manner consistent with the facility’s Resident Rights policy and the resident’s assessed needs.
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