Resident Rights and Dignity Flashcards

A resident with moderate dementia is observed by a surveyor to be wearing soiled clothing at midday, with staff walking past without intervening. This most directly suggests a deficiency in:

Answer: Resident dignity and personal hygiene care

Allowing a resident to remain in soiled clothing indicates a failure to provide care that maintains dignity and basic hygiene, a direct violation of resident rights.

Under the SMQT framework, which resident rights tag is associated with a resident's right to be free from verbal, mental, sexual, and physical abuse?

Answer: F600

F600 addresses the right to be free from abuse, neglect, and exploitation, a foundational resident rights protection under federal regulations.

A surveyor finds that a nursing facility charges a Medicaid resident a fee for an activity that is considered a basic service under Medicaid. This finding relates to which resident right?

Answer: Right to be fully informed of services and charges, including the right not to be improperly charged

Residents must be fully informed of services and applicable charges, and facilities cannot bill Medicaid residents for services already covered under Medicaid.

When a resident's representative (not the resident) is the primary decision-maker, the surveyor should verify that:

Answer: The resident is still involved in care decisions to the extent of their ability and desire

Even when a representative is involved, residents must be included in care decisions to the extent they are able and wish to participate.

A facility's policy requires all residents to attend morning exercises. A resident refuses to attend, citing their right to choose their activities. The facility:

Answer: Must honor the resident's right to choose their schedule and activities

Residents have the right to choose their activities and daily schedule, and mandatory participation in activities violates this right.

During a survey, a resident tells the surveyor they are afraid to complain about care because they fear retaliation from staff. This concern relates most directly to the resident's right to:

Answer: Voice grievances without discrimination or reprisal

Residents have the explicit right to voice grievances without fear of discrimination, interference, coercion, or reprisal from the facility or its staff.

A surveyor is reviewing a facility's advance directive policies. Which finding would indicate a deficiency in honoring resident rights?

Answer: The facility refuses to honor a resident's DNR order because it conflicts with staff values

Facilities must honor valid advance directives including DNR orders; staff personal beliefs cannot override a resident's legally executed directive.