Failure to Prevent Resident Abuse by CNA
Penalty
Summary
The facility failed to protect residents from abuse, as evidenced by two separate incidents involving two residents. In the first incident, a certified nursing assistant (CNA) was reported to have gotten into a resident's personal space and forced the resident to sit on the toilet. When the resident pushed the CNA, the CNA pushed the resident back. The resident involved had diagnoses including dementia and Alzheimer's disease and was assessed as severely cognitively impaired with a BIMS score of 2. In the second incident, the same CNA was reported to have rolled another resident into a wall while changing their bedding, resulting in the resident hitting their knees and developing discoloration. This resident had diagnoses of dementia, anxiety, and OCD, and was moderately cognitively impaired with a BIMS score of 9. Both incidents were reported by another CNA to the facility administrator, who confirmed the details during an interview. The report documents that these actions constituted abuse and resulted in physical harm to the residents.