Failure to Protect Resident From Verbal Abuse by Agency CNA
Penalty
Summary
The deficiency involves the facility’s failure to protect a resident from verbal abuse by a staff member. According to the facility’s abuse prevention and reporting policy, the facility affirms residents’ rights to be free from abuse and prohibits abusive behavior, including verbal abuse. Despite this, an agency CNA (V8) engaged in a verbal altercation with a resident (R1), who was a short-term rehabilitation patient with altered cognitive deficits (BIMS score 12/15) and diagnoses including a right femur fracture and COPD. During a transfer, V8 swore at the resident and disregarded the resident’s reported hip pain, demonstrating a poor attitude and impatience. The incident was witnessed by the resident’s spouse (V14), who observed that the CNA was very rude and impatient with the resident. Staff, including a registered nurse (V4) and the administrator (V1), reported that the CNA was cussing at and berating the resident in the presence of the spouse. The CNA’s employee file documented termination for verbally abusing a resident but did not contain documentation of abuse training, despite the facility’s CNA job description requiring safeguarding residents’ health, safety, and welfare, demonstrating tact with residents and families, and knowledge of public health regulations. These circumstances show that the resident was subjected to verbal abuse by a staff member, contrary to facility policy and job expectations.
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