Resident Not Protected from Abuse by CNA
Penalty
Summary
A resident with multiple chronic conditions, including type 2 diabetes mellitus, chronic obstructive pulmonary disease, end stage renal disease, and heart failure, was re-admitted to the facility. The resident reported that a Certified Nursing Assistant (CNA) took away their room phone after the resident repeatedly called the front desk. The CNA admitted to unplugging the phone and placing it out of the resident's reach, instructing the resident to stop calling downstairs. The facility's investigation substantiated the allegation of abuse, documenting that the CNA willfully inflicted punishment, resulting in the resident's mental anguish. The resident described the CNA as being bossy and giving attitude, stating that the CNA was upset due to frequent use of the call light and phone. The resident's behavioral care plan noted distress related to feelings of powerlessness and difficulty adjusting to life in the facility, with interventions focused on calm communication and staff professionalism. During the incident, the resident still had access to their cell phone and call light. The facility's policy requires an environment free from abuse, corporal punishment, involuntary seclusion, and other forms of mistreatment. The deficiency was identified through interviews, record review, and documentation, confirming that the resident was not protected from abuse as required.