Failure to Protect a Resident From Physical Abuse During Incontinence Care
Penalty
Summary
Facility staff failed to protect a resident from physical abuse by a Geriatric Nursing Assistant (GNA). According to the facility’s investigation of a reported incident, on one evening after dinner and before 11:00 PM, during incontinence care, the resident was slapped on the buttocks twice by a GNA. The allegation of physical abuse was substantiated based on the resident’s statements, repeated interviews that produced a consistent recounting of the incident, and confirmation from police that a witness GNA’s involvement matched the resident’s consistent statements. The Director of Nursing acknowledged these findings during discussion with surveyors. This deficiency centers on the occurrence of physical abuse during the provision of incontinence care, as verified by the victim’s account and corroborating witness information, demonstrating that the resident was not kept free from abuse while under the care of the involved GNA.
