Failure to Use Proper Transfer Technique Resulting in Resident Injury
Penalty
No penalty information released
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Summary
A deficiency occurred when a certified nursing assistant (CNA) failed to use appropriate transfer techniques for a resident who required partial to moderate assistance with mobility due to weakness and cancer. The resident, who had no cognitive impairment and was care planned to have two staff assist with mobility and to avoid grabbing his arms due to fragile skin, sustained multiple skin tears on his right forearm after the CNA grabbed his wrist instead of using a gait belt during a transfer. The skin tears measured 4 cm by 1 cm, 2.5 cm by 1 cm, and 2 cm by 1 cm, with blood noted from each area. Documentation confirmed the incident and the CNA's violation of facility protocol.