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F0600
D

Resident Subjected to Abusive Behavior by CNA During Care

West Salem, Wisconsin Survey Completed on 09-16-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

A deficiency occurred when a resident, who was alert, oriented, and able to communicate her needs, was subjected to abusive behavior by a Certified Nursing Assistant (CNA). The resident reported that the CNA spoke to her in a haughty, condescending, and dictatorial manner, insisted she move her own belongings, and threatened to leave if she did not comply. During care, the CNA grabbed the resident's wrist twice, did not release her grip when asked, and yelled in the resident's face from a close distance. The resident expressed feeling a little afraid during the incident and described the CNA's behavior as escalating. Although no marks were left, the resident stated the grip was tight and confirmed she felt the CNA was abusive. Other staff present corroborated the resident's account. Another CNA described the situation as a "power trip" and confirmed the CNA's condescending tone and refusal to let go of the resident's wrist. A Licensed Practical Nurse (LPN) who entered the room observed the resident visibly trembling and with watery eyes, and noted the CNA was speaking aggressively and inappropriately close to the resident's face. The LPN also observed slight redness near the resident's wrist and reported that the resident calmed after the CNA left. The incident was reported to the Director of Nursing, and statements were gathered for investigation.

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