Failure to Prevent Physical Abuse of a Cognitively Impaired Resident
Penalty
Summary
A deficiency occurred when a Certified Nursing Assistant (CNA 1) was observed by two other staff members to have roughly pushed a resident with severe cognitive impairment multiple times to prevent the resident from getting up from bed. The resident, who had diagnoses including psychosis, anxiety, Parkinson's disease, schizoaffective disorder, depression, and a cognitive communication deficit, was noted to have a BIMS score of 1, indicating severe cognitive impairment. The care plan for this resident included interventions to interact in a peaceful manner due to a history of anxiety and wandering. On the evening of the incident, two CNAs witnessed CNA 1 push the resident down by the shoulders, causing the resident to fall back onto the bed. Both CNAs reported seeing redness and swelling on the resident's face, and one heard slapping noises, though did not see slapping. The resident was heard yelling for help and to stop. The Registered Nurse assessed the resident and confirmed redness and swelling on the left cheek. Facility policy prohibits any form of abuse or rough handling of residents.