|§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.
Based upon observations and interviews, it was determined that the facility failed to ensure residents were served meals in a dignified manner for one of four dining rooms observed (Cambridge).
Observation of dining service on January 12, 2020, at approximately 1:10 p.m, revealed nursing staff Employee E4, standing to feed Resident 113 the lunch meal.
Additional observation of dining service on January 13, 2020 at approximately 1:00 p.m., revealed nursing staff Employee E5, standing to feed Resident 113 the lunch meal.
Interview with the Nursing Home Administrator and Director of Nursing on January 15, 2020 at 2:00 p.m. confirmed staff are to interact with residents during meals and should sit down to assist resident who must be fed their meals.
| ||Plan of Correction - To be completed: 03/02/2020|
1. R113 had no untoward effect from the meals served on January 12, 2020 and January 13, 2020; staff will remain seated while assisting R113 with meals.
2. All residents that are dependent upon staff to be fed have the potential to be effected. Staff will remain seated when assisting them with meals.
3. The Staff Developer will re-educate staff to remain seated while feeding residents.
4. The Director of Nursing or designee will conduct random audits during mealtime to ensure that staff remain seated while feeding residents. Audits will be completed weekly times four and then monthly times three with results reported at the facility QAPI meeting.