Failure to Provide Dignified Toileting Care and Respect Resident Preferences
Penalty
Summary
The deficiency involves the facility’s failure to treat a resident with respect and dignity and to provide care in a manner that enhances quality of life. Facility policy titled “Dignity” states that residents are to be treated with dignity and respect at all times and that resident goals, choices, preferences, values, and beliefs are to be respected and honored beginning at admission and throughout the stay. Resident 2, admitted with diagnoses including spinal stenosis and hypertension, required assistance with toileting and had been provided a bedpan upon admission for use with staff and the resident’s daughter. Despite these needs and preferences, a nurse aide (Employee 3) encouraged the resident to urinate in her brief instead of offering the bedpan or assistance with ambulating to the restroom. Documentation from the resident’s daughter on a Grievance/Concern form stated that the aide encouraged the resident to “pee” in her brief and then placed a “pamper” on the resident. An Employee Progress Discipline Notification documented that Employee 3 double-briefed the resident instead of providing the appropriate toileting assistance. These actions did not honor the resident’s dignity or respect her stated toileting needs and preferences, resulting in a violation of the facility’s dignity policy and regulatory requirements.
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