Failure to Honor Resident’s Nighttime Clothing Preferences and Dignity
Penalty
Summary
The deficiency involves the facility’s failure to ensure a resident was treated with respect and dignity and allowed to exercise her preferences regarding nighttime clothing. The resident’s sister reported that the resident had been put to bed fully clothed and with her shoes on, contrary to the resident’s preference to wear pajamas at night. The resident’s care plan, dated 10/02/24, documented that it was important for the resident to engage in meaningful daily routines relative to her preferences, including choosing what clothing to wear. Despite this, the resident was put to bed without being changed into her preferred bed clothing and with her shoes left on. Facility staff interviews confirmed awareness of the incident and that the care provided did not align with the resident’s preferences or care plan. The ADON acknowledged familiarity with the incident and stated that staff should have changed the resident into her preferred clothing and removed her shoes. The Social Services Assistant reported that the family raised concerns at a care conference, stating the resident was unhappy about being left fully clothed with shoes on. A CNA stated that when she arrived the morning after the incident, the resident was upset and reported that an aide had put her to bed, said she would return to change her, and never came back. The CNA confirmed the resident was still in her daytime clothing and shoes, noted that the resident needed assistance with changing due to inability to use her arm, and admitted she did not report the incident to facility staff.
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