Resident Face Shown in Staff Social Media Video: The facility failed to ensure a resident was free from abuse when a CNA posted videos on social media while working, and one video briefly showed the resident’s face. The Administrator confirmed the video included the CNA complaining about her assignment and showing facility hallways and the resident, who had severe cognitive impairment and diagnoses of anxiety and depression. Staff stated that taking or posting resident photos or videos on social media was a violation of abuse, privacy, and resident rights.
Failure to protect a resident from physical abuse occurred when two cognitively intact residents got into a verbal argument that escalated into a physical altercation near the smoking area. One resident alleged the other grabbed her by the throat and pushed her against a wall, while staff observed the residents yelling, cussing, and overturning each other’s rollators, with one resident appearing to push the other. The incident was documented as a resident-to-resident abuse allegation.
A CNA physically abused a resident during an attempted redirection in the memory care unit, striking the resident in the face and causing a scratch after the resident hit the CNA first. In a separate incident, a Housekeeping Supervisor was overheard speaking to a resident in an elevated, argumentative manner about hangers and later admitted losing her temper. Both incidents were substantiated as abuse-related events.
A CNA took an unauthorized photo of a resident’s scrotal wound/genital area during incontinent care and showed it to other staff. The resident had Alzheimer’s disease, depression, anxiety, and a scrotal abscess requiring wound care. Interviews showed the CNA shared the image with multiple staff members, while the resident was unaware the photo had been taken.
A resident with dementia and delusional disorder physically assaulted another cognitively impaired resident after accusing her of taking clothing. The resident first scratched an RN, then later punched the other resident in the eye during a dining room altercation, with a CNA witnessing the resident standing over the other resident, yelling threats, and striking her twice in the face.
Abuse Allegations Involving CNA: A CNA was reported to have verbally abused one resident by yelling and using profanity, and to have physically handled another resident during a toilet transfer by grabbing her wrists, resulting in bruising and skin tears. One resident later had visible forearm skin tears and soreness, while the other resident stated the CNA was intimidating and would holler at her if she did not comply. The record showed limited documented assessment details tied to the allegations.
A CNA roughly handled a resident during ADL care, including abrupt pulling, forceful repositioning, and removing clothing while a non-caregiver observed via video call without the resident’s knowledge. The resident, who had Alzheimer’s disease, anxiety, and malnutrition and required extensive assistance with transfers and bed mobility, was left fully exposed in bed with her breast visible and only socks on while care continued.
A resident was sexually abused by another resident when he entered her room and touched her breast over her clothing. The resident reported feeling uneasy and delayed telling staff, while the other resident admitted to touching her breast and said he had gone into her room to give candy. The ED substantiated the allegation as abuse.
A CNA refused to answer a resident’s call light, told him not to use it, and failed to provide timely hygiene and ostomy care, leaving him in urine-soaked bedding and tearful and afraid. Staff statements described the CNA as dismissive of the resident’s repeated needs and reported that another aide had to step in to provide care. The resident had multiple mental health and cognitive diagnoses, along with an ileostomy and vision impairment, and the facility’s policy identified withholding care as neglect and threatening to withhold care as verbal abuse.
A resident with adjustment disorder and a BIMS score of 13/15 became involved in a verbal altercation with a CNA after being told to go to the dining room. The resident later spoke with an LPN at the nurse’s station about being upset, and the CNA came over and argued with him, with both parties yelling and the CNA using profanity and statements such as not being a piece of sh**. Staff interviews confirmed the CNA was yelling and cursing around the resident.
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