Failure to Implement Preventive Measures After Substantiated Abuse
Penalty
Summary
A resident alleged that a Certified Nursing Assistant (CNA) was rough while providing care, specifically when rolling the resident in bed. The resident reported that the CNA was wearing ear buds and was not listening to the resident's attempts to communicate about pain and how care should be performed. Documentation indicated that the resident was tearful after the interaction. The facility contacted local police and conducted interviews with residents and staff following the allegation. Despite substantiating the abuse allegation, the facility did not provide documentation or evidence to surveyors that measures were put in place to prevent recurrence of abuse or to ensure the safety of the resident and others. The facility's abuse policy requires immediate investigation and implementation of actions to prevent further abuse, but there was no evidence that such preventive measures were taken after the incident.