Failure to Protect Residents From Verbal Abuse by CNA
Penalty
Summary
Non-compliance at F600 occurred when the provider failed to protect three residents from verbal abuse by a CNA. On the night of 3/3/26, a resident with moderate cognitive impairment, an above-the-knee amputation, and end-stage renal disease requiring dialysis activated his call light after a bowel movement. When the CNA responded, he reportedly displayed a bad attitude and asked the resident, using profanity, what he wanted. The resident became angry and told the CNA to leave his room. This interaction was later reported by the resident to an LPN. Around the same time, another cognitively intact resident with multiple sclerosis activated her call light for assistance getting into bed. When the CNA arrived, she requested a female staff member to help her. The CNA became upset, left the room, and slammed the resident’s door. The resident reported hearing the CNA arguing with a third resident across the hall and hearing that resident crying shortly thereafter. The third resident, who had moderate cognitive impairment, quadriplegia, and a colostomy, had requested assistance with emptying his colostomy bag. The CNA did not know how to perform the task, and when the resident asked him to find another staff member to help, the CNA refused to seek assistance. The CNA then began shouting at the resident in a non-English language and left the room. The resident was later found crying by the LPN and expressed emotional distress, including apologizing for being alive and feeling like a burden. These events were reported to the administrator, and an investigation confirmed the residents’ allegations of verbal abuse by the CNA.
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