Failure to Communicate and Address Resident Pain
Penalty
Summary
A resident with Alzheimer's disease, muscle weakness, gait abnormalities, and pain was admitted to the facility and was able to communicate needs despite dementia. During care provided by two CNAs, the resident reported experiencing pain in his arms. The CNAs left the room without providing any pain relief interventions or notifying the licensed nurse responsible for the resident's care. Approximately 40 minutes later, the licensed nurse was informed of the resident's pain only after being approached by surveyors. Upon assessment, the resident reported arm pain at a level five on a zero to ten scale. Facility policy required staff to help residents manage pain and for CNAs to immediately inform the licensed nurse when a resident reports pain, which was not followed in this instance.