Grand Valley Health Care Center

that CNA 1 was not allowed to work with Resident 1. ADSD stated that ADSD changed the assignment and removed CNA 1 from Resident 1's room around 3 p.m.

During an interview on 8/22/2025 at 3:25 p.m. with the CM, the CM stated that prior to Resident 1's readmission to the facility on 7/21/2025, the CM was informed that Resident 1 did not want CNA 1 to provide care for Resident 1 or be around CNA 1.During an interview on 8/22/2025 at 4:20 p.m. with the Director of Nursing (DON), the DON stated that Resident 1 had requested CNA 1 not provide care for Resident 1 upon readmission to the facility.

The DON confirmed that CNA 1 entered Resident 1's room and spoke to Resident 1.

The DON stated that CNA 1 should not have spoken to Resident 1 or entered the room or had any contact with Resident 1.

The DON stated that the presence of CNA 1 in Resident 1's room has the potential to cause increased anxiety, fear and feelings of discomfort.During a review of the facility policy and procedure (P&P) titled Resident's Right to Dignity and Privacy dated 8/15/2024, indicated it is the policy of the facility that each resident shall be cared for in a manner that promotes dignity, respect and individuality and provides for resident privacy.

The facility will protect and promote the rights of the resident.Resident shall be treated with dignity and respect at all times.to be encouraged and assisted to exercise rights as a resident and as a citizen, and voice grievances without interference, coercion, fear of discrimination or reprisal and to be supported by the facility in the exercise of his or her rights and to recommend changes in policies and services to facility staff and/or outside representatives of the resident's choice and to have the facility respond to those grievances.

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