Failure to Protect Resident from Staff-Initiated Abuse and Neglect
Penalty
Summary
The facility failed to protect residents from staff-initiated abuse and neglect, as evidenced by the substantiated case involving a resident with neurogenic bladder and multiple sclerosis, who was cognitively intact with a BIMS score of 15. The resident reported that a nurse aide verbally abused her, used profanities, and refused to provide appropriate care, including leaving her undressed and not assisting her into her chair as requested. The resident described being left cold and upset after the aide removed all her clothing at once, ignored her requests for assistance, and made derogatory remarks. The aide's own statement confirmed a confrontation occurred, and the aide left the resident after the exchange. Facility documentation and interviews further revealed that the resident's son reported the incident, stating that the aide was verbally abusive and left his mother naked in bed. The facility's investigation substantiated the abuse, confirming that the staff member's actions constituted both verbal abuse and neglect of care. The Nursing Home Administrator acknowledged that the facility failed to protect residents from staff-initiated abuse, as required by facility policy and regulatory standards.