Verbal Abuse by CNA Toward Resident with Behavioral Challenges
Penalty
Summary
A deficiency occurred when a certified nursing aide (CNA) verbally abused a resident with significant cognitive and behavioral challenges. The resident, who had diagnoses including anoxic brain damage, psychotic disorder, and required moderate to maximal assistance with activities of daily living, was on a 24-hour one-on-one care plan due to aggressive behaviors. During care, the resident grabbed the CNA's wrist, causing pain. In response, the CNA raised his voice and used inappropriate language toward the resident, which was overheard by an agency LPN. The CNA immediately apologized after the incident. The facility's policy prohibits all forms of abuse, including verbal abuse, and requires staff to maintain professional behavior even in challenging situations. The incident was reported by the agency LPN to the Director of Nursing (DON), who subsequently notified the administrator. The investigation confirmed that the CNA's conduct constituted verbal abuse, as defined by the facility's policy, due to the use of raised voice and inappropriate language in response to the resident's actions.