Resident Physically Abused During Care by CNA
Penalty
Summary
A deficiency occurred when a certified nurse aide (CNA) physically abused a resident during care. The CNA aggressively moved the resident in bed without explanation, causing the resident to yell for help and report pain. The resident, who had significant medical conditions including flaccid hemiplegia, contractures, generalized anxiety disorder, and Alzheimer's disease, was tearful, upset, and expressed fear of the CNA following the incident. The resident was dependent on staff for bed mobility and toileting, had impaired cognition, and was known to bruise easily due to underlying hematological issues. The incident was witnessed by a licensed practical nurse (LPN), who observed the CNA handling the resident roughly, rolling and moving the resident without communication, and using excessive force. The LPN intervened after the resident screamed for help, instructing the CNA to stop and leave the room. Additional staff entered the room after hearing the resident's distress, and they took over the resident's care. The resident was found to be partially undressed and covered only by a sheet, and the CNA's actions resulted in the resident being placed dangerously close to the edge of the bed and in the spread of feces throughout the room. Subsequent assessments and interviews confirmed the resident sustained multiple bruises to the right arm, as documented in the facility's skin assessments and corroborated by photographs provided by the resident's next of kin. The resident consistently reported being hurt and scared by the CNA, and staff interviews supported the account of rough and aggressive handling. The deficiency was identified based on direct observation, staff and resident interviews, and review of medical records and skin assessments.