Resident Physically Abused by LPN During Morning Care
Penalty
Summary
A deficiency occurred when a resident with paraplegia, epilepsy, intellectual disability, aphasia, and multiple co-morbidities was subjected to physical abuse by an LPN during morning care. The incident took place while a GNA was assisting the resident, who became agitated and attempted to swing at the GNA. The LPN entered the room, closed the door, and then slapped the resident hard on the right side of the face, accompanied by yelling and the use of expletives. The resident was left holding their face, which appeared red, and became quiet following the incident. The GNA who witnessed the event did not immediately report the abuse due to fear of retaliation, as the LPN was described as confrontational and intimidating. The GNA reported the incident the following day to another nurse and then to administration, expressing emotional distress over the event. Another GNA corroborated the hostile behavior of the LPN, noting previous instances of yelling at residents. Documentation and staff interviews confirmed the sequence of events and the delay in reporting. Medical evaluation of the resident following the incident included a physician's assessment for headache and a referral to the emergency room to rule out head injury. The resident underwent a CT scan of the head and C-spine, which were unremarkable, and no significant injuries were found. The LPN involved had a documented history of behavioral issues, including previous write-ups for insubordination, inappropriate language, and harsh interactions with residents.