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F0600
D

Failure to Protect Resident from Staff Mistreatment

Holly, Michigan Survey Completed on 08-14-2025

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 staff member failed to protect a resident's right to be free from mistreatment. During an incident, a Certified Nurse's Aide (CNA) was observed placing her hand over a resident's mouth while the resident was yelling during care. Another CNA witnessed this action, which resulted in the resident's voice being muffled, and confronted the staff member. The CNA who committed the act reportedly expressed frustration with the resident's behavior and made an inappropriate comment about the resident's mental health status. The incident was reported to the nurse manager and subsequently to the facility administrator. The resident involved had a medical history including parkinsonism, bipolar disorder with severe psychotic features, and schizoaffective disorder. The facility's policy prohibits abuse, neglect, and exploitation, and requires immediate investigation of any allegations. The staff member accused of the mistreatment was suspended and later terminated following the incident. The deficiency centers on the failure to protect the resident from physical and psychosocial harm by a staff member during the provision of care.

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