Resident Physically Abused by Staff During Care
Penalty
Summary
A resident with severe cognitive impairment, dementia, and anxiety, who was dependent on staff for activities of daily living and personal hygiene, was subjected to physical abuse by a staff member during incontinence care. The resident was known to be combative and sometimes refused care, as documented in her care plan, which included interventions such as explaining procedures, using a calm approach, and providing reassurance. During an episode of care, the resident became agitated, verbally resisted, and attempted to push staff hands away. While two nurse aides were providing care, one staff member became angry at the resident's resistance, grabbed both of the resident's wrists, yelled at her, and slapped her on the hand with an open hand. The incident was witnessed by the other aide, who reported that the resident appeared startled and subsequently exhibited fearful and suspicious behavior towards staff. The staff member involved admitted to hitting the resident, stating it was an instinctive reaction after being slapped by the resident. The incident was not reported to the Director of Nursing until the following morning, after being relayed through multiple staff members. The resident was observed to be fearful during subsequent care, asking staff not to hurt her. The facility's investigation substantiated the abuse, confirming that the staff member had physically abused the resident during care.