Verbal Abuse Incident Involving Nurse Aide
Penalty
Summary
The facility failed to ensure that a resident remained free from verbal abuse, resulting in emotional distress for one resident. The incident involved a Nurse Aide, identified as Employee E10, who verbally abused a resident, referred to as Resident R38. The situation arose when Employee E10 attempted to throw a piece of paper into a trash can, but it accidentally hit Resident R38. In response, Resident R38 informed the Nurse Aide about the incident, which led to the Nurse Aide yelling and using inappropriate language towards the resident. This interaction was witnessed by a Nurse Supervisor who intervened. Resident R38 had been admitted to the facility with diagnoses including Type 2 Diabetes Mellitus, the presence of a cardiac pacemaker, and dependence on supplemental oxygen. The facility's investigation confirmed the verbal abuse, and it was substantiated that Employee E10 used derogatory language towards the resident. The Nurse Aide admitted to being upset about a change in their work assignment and acknowledged losing their temper, which led to the inappropriate outburst.
Plan Of Correction
1. E10 is no longer employed at the community. R38 was evaluated by a licensed team member on 11/21/2024 and no physical injuries were noted. R38 was also provided with emotional support and remains in the community with no ill effects from the event. 2. The social service worker or designee will complete a random audit on all shifts to monitor for team member compliance with the community "Abuse, Neglect, or Exploitation Policy" for current residents by 2/28/25. 3. The Nursing Home Administrator or designee will provide re-education to current team members on the "Abuse, Neglect, or Exploitation Policy" by 3/10/25. 4. The Nursing Home Administrator or designee will complete a random audit on 5 residents who are receiving care to ensure compliance with the community "Abuse, Neglect, or Exploitation Policy" weekly for 4 weeks and then monthly for 2 months. The results of these audits will be forwarded to the Quality Assurance Process Improvement team for review and recommendations.