Alleged Rough Handling and Disrespectful Interaction During Toileting Request
Penalty
Summary
The deficiency involves a failure to ensure that a resident was treated with dignity and respect, consistent with the facility’s dignity and abuse-prevention policies. A resident with anxiety disorder, legal blindness, muscle weakness, and severe cognitive impairment, who required maximal assistance with toileting, reported that while sitting on the side of the bed with legs dangling, a CNA entered the room. The resident stated that after requesting to use the restroom, the CNA responded, “I have better things to do,” and pushed the resident on the shoulders, causing the resident to lean back on the bed. The resident reported feeling scared at first and then angry, and another aide later came to assist with toileting. Following this alleged incident, an LPN overheard the resident telling a family member that the CNA had pushed them the previous night. The LPN notified an RN, and together they interviewed the resident in the presence of the family member. The resident again reported that the CNA had pushed them, and pointed to the upper chest as the area of contact. An assessment was completed, which revealed no marks, bruising, edema, or inflammation. The resident did not report falling off or out of the bed. The facility’s policies required that residents be treated with dignity and respect at all times, prohibited demeaning practices, and affirmed residents’ rights to be free from physical abuse. Other staff and residents provided additional context about the CNA’s interactions with residents. One CNA reported that the resident had complained about the CNA involved in the allegation, and that another resident had also complained that this CNA always seemed to be in a hurry. Another resident stated that this CNA was “not the best aide,” seemed to be in a hurry, and made the resident feel ignored; this resident also reported hearing the CNA yelling at the resident involved in the allegation, describing the CNA’s tone as gruff, though they could not understand the words. The CNA in question acknowledged that residents had asked them to slow down, that they sometimes did not have time to spend extra time with residents, and that they had previously discussed their tone of voice with the Administrator. The CNA denied pushing the resident, stating that the resident sometimes became verbally aggressive and that, due to the resident’s hearing impairment, they would tap the resident on the shoulder to signal their presence.
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