§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 and observation, it was determined that the facility failed to provide assistance with dining in a manner that promoted and maintained dignity for one of 13 residents in one of two dining rooms (Main Dining Room). (Resident 8)
Findings include:
Clinical record review revealed that Resident 8 had diagnoses that included vascular dementia, anemia, and chronic fatigue. Review of the Minimum Data Set (MDS) assessment, dated July 2, 2024, revealed that the resident had cognitive impairment. Review of Resident 8's care plan revealed that staff was to encourage oral intake and assist with dining. On October 1, 2024, from 11:55 a.m. until 12:18 p.m., Nurse Aide (NA) 1 was observed standing to assist Resident 8 eat lunch while the resident was seated in the wheelchair.
28 Pa. Code 211.12(d)(1)(5) Nursing services.
| | Plan of Correction - To be completed: 12/02/2024
NA 1 was provided counseling and education by the Director of Nursing regarding the appropriate method to physically assist residents with eating meals in a dignified manner.
All Nursing staff received education on the proper procedures for ensuring that resident dignity is maintained while physically assisting residents during meals.
Observation audits of meals will be conducted by the DON/designee three times per week for two months, weekly for one month and then monthly for three months or until compliance is achieved.
The DON/designee will review results of the audits to identify/track trends or patterns. Results of the audits will be reported by the DON/designee at monthly QAPI Committee meeting for further review and/or recommendations.
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