Resident Restrained with Improper Use of Sheet and Clothing, Violating Dignity and Rights
Penalty
Summary
A deficiency occurred when a certified nurse's assistant (CNA) applied a sheet around a resident's waist and secured it in a double knot while the resident was seated in a wheelchair. Additionally, the CNA put johnny pants on the resident backwards, with the ties positioned in the back and also secured in a double knot. These actions were taken to prevent the resident from accessing and removing their brief, as the CNA could not locate a belt. The CNA confirmed that these interventions were not part of the resident's care plan and acknowledged having received prior training on abuse, neglect, restraints, and resident rights. The facility's internal investigation determined that the CNA's actions constituted abuse and the use of a restraint, as they restricted the resident's ability to access their brief and were not authorized in the care plan. The investigation also found that the resident's rights to dignity and respect were violated by being inappropriately tied with a sheet and having clothing applied in a manner that restrained movement. The CNA did not recognize these actions as inappropriate, despite previous training and orientation on proper care and resident rights.