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F0600
D

Verbal Abuse of Resident During Perineal Care

San Bernardino, California Survey Completed on 08-13-2025

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 Certified Nursing Assistant (CNA 1) verbally abused a resident with a history of stroke and left-sided paralysis during perineal care. The resident expressed pain and concern about rough handling, which CNA 1 did not acknowledge. Another CNA (CNA 2) present during the care asked CNA 1 to be more careful, but CNA 1 responded dismissively. After care was completed, the resident told CNA 1 she did not want her to provide care anymore, at which point CNA 1 called the resident a derogatory name. CNA 2, who was leaving the room, overheard the verbal abuse. The incident was confirmed through statements from the resident, CNA 2, and CNA 1, as well as an investigation by the Director of Nursing (DON). The facility's policy requires all employees to treat residents with kindness, respect, and dignity, and prohibits abuse of any kind. The failure to adhere to these standards resulted in the resident experiencing pain, fear, and anxiety.

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