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N0204
G

CNA Allegedly Hits Resident During Care

Fort Myers, Florida Survey Completed on 02-17-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

A Certified Nursing Assistant (CNA) was reported to have hit a resident during an incident that occurred in the doorway of the resident's room. The Social Worker Assistant witnessed the CNA hitting the resident and immediately intervened, taking the resident away and escorting the CNA to the Administrator's office. The CNA claimed that the resident had been cursing and bit her, but denied hitting the resident. The Social Worker Assistant documented the incident, stating that she saw the CNA hit the resident and heard the resident exclaim that they had been hit with something hard. No other staff witnessed the incident, and the facility's investigation verified the allegation against the CNA. The resident involved in the incident was described as mostly pleasant but sometimes combative during care. The resident's daughter, who is also her Health Care Surrogate, mentioned that her mother had been diagnosed with a condition approximately 12 years ago and had sustained injuries that led to her admission to the facility for rehabilitation. The resident was later transferred to the memory care unit for increased supervision. Following the incident, the resident began experiencing distress, prompting the Unit Manager to contact the Advanced Practice Registered Nurse (APRN) on call.

Plan Of Correction

The CNA was suspended on and terminated on. All staff were re-educated on the policy and procedure, customer service, and resident rights related to by the Nurse Management Team. This training was initiated on and was ongoing until all staff were completed. The completion date was. Knowledge verification was completed by administering a post test to all employees. The facility met with the QIO team on. The QIO team provided the facility with a De-escalation toolkit and provided training to the ADON, Staff Educator, DON, and Administrator. The ADON completed the De-escalation training with all staff. This was completed to 27th, 2025. The staff remaining were removed from the schedule, and the training is being offered every Tuesday as part of new hire orientation. The staff remaining will attend at that time and then may resume their normal working schedule. Knowledge verification was completed by administering a pre and post test to all employees who attended the training. 3. What measures will be put into place or what systematic changes you will make to ensure that the deficient practice does not recur. All staff were re-educated on the policy and procedure, customer service, and resident rights related to by the Nurse Management Team. This training was initiated on and was ongoing until all staff were completed. The completion date was. The training will be provided every Tuesday as knowledge verification was completed by administering a post test to all employees. The facility met with the QIO team on. The QIO team provided the facility with a De-escalation toolkit and provided training to the ADON, Staff Educator, DON, and Administrator. The ADON completed the De-escalation training with all staff. This was completed to 27th, 2025. The staff remaining were removed from the schedule, and the training is being offered every Tuesday as part of new hire orientation. The staff remaining will attend at that time and then may resume their normal working schedule. Knowledge verification was completed by administering a pre and post test to all employees who attended the training. Daily knowledge checks and audits will assess staff adherence to the education provided starting on. These will be completed by the IDT team on an ongoing random basis on all shifts. Social Services is completing daily random audits with residents and/or family members regarding and neglect.

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