Failure to Prevent Financial Exploitation by CNA
Penalty
Summary
The facility failed to prevent financial exploitation of a resident when a CNA accepted a new pair of shoes that the resident purchased for the CNA’s personal use. The resident had been admitted with a diagnosis that included right knee pain, and the MDS assessment showed a BIMS score of 15, indicating intact cognitive status with the ability to recall the correct year, month, and day of the week. According to the CNA, the resident noticed the CNA’s swollen feet, inquired about the condition, and was told the CNA had arthritis. The resident then bought a new pair of shoes and gave them to the CNA, who accepted them and later gave the resident twenty dollars for the shoes. During an interview, the CNA stated she did not see anything wrong with accepting the shoes from the resident. The Administrator and DON reported they were not aware that the CNA had received shoes purchased by the resident and stated the facility did not expect the CNA to receive shoes from the resident for personal use. Review of the facility’s Abuse Prevention policy, dated 9/1/2008, indicated that abuse, neglect, abandonment, isolation, and financial abuse would not be tolerated at any time. Despite this policy, the CNA’s acceptance of the shoes constituted exploitation, as the resident’s belongings or money were used for the CNA’s personal gain.
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