Failure to Protect Resident from Abuse by CNA
Penalty
Summary
The facility failed to protect a resident from abuse when a certified nursing assistant (CNA) was reported to have been rough while changing the resident's brief, including tugging on the resident. The incident involved a resident with a history of cervical spine fusion, cocaine abuse with cocaine-induced psychotic disorder with hallucinations, depression, and pain. The resident reported the incident, and the CNA was removed from the resident's care for the remainder of the shift due to incompatibility between the resident and the CNA. The CNA resigned from the facility after the allegation was reported. An investigation was conducted, and the facility substantiated the allegation of abuse. The facility's policy prohibits all forms of abuse, neglect, and mistreatment, and requires immediate reporting and investigation of such incidents. The deficiency was identified through interviews, record review, and document review, which confirmed that the resident was not kept safe from abuse as required.