§483.10(a) Resident Rights. The resident has a right to a dignified existence, self-determination, and communication with and access to persons and services inside and outside the facility, including those specified in this section.
§483.10(a)(1) A facility must treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life, recognizing each resident's individuality. The facility must protect and promote the rights of the resident.
§483.10(a)(2) The facility must provide equal access to quality care regardless of diagnosis, severity of condition, or payment source. A facility must establish and maintain identical policies and practices regarding transfer, discharge, and the provision of services under the State plan for all residents regardless of payment source.
§483.10(b) Exercise of Rights. The resident has the right to exercise his or her rights as a resident of the facility and as a citizen or resident of the United States.
§483.10(b)(1) The facility must ensure that the resident can exercise his or her rights without interference, coercion, discrimination, or reprisal from the facility.
§483.10(b)(2) The resident has the right to be free of interference, coercion, discrimination, and reprisal from the facility in exercising his or her rights and to be supported by the facility in the exercise of his or her rights as required under this subpart.
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Observations:
Based on clinical record review, observations, and interviews with residents and staff, it was determined that the facility failed to ensure resident dignity for one out of seven residents reviewed (Resident R1).
Findings include:
Review of the clinical record revealed that Resident R1 revealed that the resident was admitted to the facility on March 18, 2021, with diagnosese of Obstructive Sleep Apnea (OSA) (OSA occurs when the upper airway becomes blocked, leading to brief pauses in breathing during sleep), and Asthma (Asthma is a chronic lung disease caused by inflammation and muscle tightening around the airways, which makes it harder to breathe).
Observation of Resident R4 on January 26, 2024, at 10:40 a.m., revealed the Resident R1 had untrimmed facial hair, and long, fingernails with dark substance under the fingernails.
During interviewed with Resident R1 on January 25, 2024 the resident stated that no staff offered him to trim the facial hair and nails. Employee E5, a Licensed Nurse of the unit was made aware of the observation, and that Resident R1's observed appearance indicated a need for personal hygiene services to maintain adequate personal grooming.
28 Pa Code:201.29(j) Resident rights.
28 Pa Code: 211.11(d)(1)(5) Nursing services.
| | Plan of Correction - To be completed: 03/01/2024
1)Resident identified had facial hair trimmed and nails cleaned and cut.
2)A sample of five residents will be audited to check personal hygiene specific to nails and grooming.
3)Education will be provided by Director of nursing/designee to CNA on personal hygiene and nail care
4)Once weekly audits will be conducted by Director of Nursing/designee on a random sample of five residents on grooming and nail care for four weeks. After which audits will be conducted once monthly for three months to determine compliance. Results will be presented at QAPI for review.
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