CNA Physically Abuses Resident by Lifting and Dropping Legs
Penalty
Summary
A deficiency occurred when a certified nursing assistant (CNA) physically abused a resident with severe cognitive impairment. The resident, who had dementia, depression, and a history of behavioral issues, was observed on surveillance video attempting to headbutt, punch, and kick the CNA. In response, the CNA moved in front of the resident, who then tried to trip her. The CNA then grabbed the resident's legs, lifted them to her hip level, held them briefly, and dropped them back down while speaking to the resident in a stern tone. Multiple staff interviews confirmed the sequence of events. The physical therapist witnessed the resident's aggressive behavior and the CNA's response, noting the CNA's stern voice and the act of lifting and dropping the resident's legs. The LPN on duty also observed the CNA forcibly move the resident's wheelchair, followed by the resident's attempts to strike the CNA, and then the CNA lifting and dropping the resident's legs while speaking loudly and with aggravation. The CNA herself admitted to lifting the resident's legs and releasing them, stating she did not want to bend over to place them on the ground. The facility's policy clearly states a zero-tolerance approach to abuse, defining physical abuse as actions such as hitting, slapping, or inappropriate handling of residents. The administrator and DON reviewed the incident and agreed that the CNA's actions were unnecessary and not in accordance with facility policy. The resident was assessed after the incident and found to have no injuries, but the act of lifting and dropping the resident's legs constituted physical abuse as defined by the facility's policy.