State Findings:
Based on observation, interview, and record review, the facility failed to ensure three of 13 sampled residents reviewed were free from abuse by staff (Resident #66, #59 and #34). Certified Nursing Assistant (CNA) #9 threw a phone and hit Reisdent #66. CNA #10 punched Resident #34 in the left eye. Resident #59 reported to the Activity Director that an aide who had cared for him/her had used a bad choice of words during their conversation which upset him/her.
During an interview on 01/31/19 at approximately 02:39 PM, Resident #66 stated that a staff member was rude to him/her, that s/he brought him/her two pieces of plain bread instead of a sandwich. When s/he went to the nurses station to address this, the staff member threw a phone at him/her. Resident #66 stated that the phone hit him/her but another staff member tried to stop it. Resident #66 stated that this took place on the night shift.
Review of the facility investigation for Resident #34 revealed At 8:00 am on 10/2/18 Resident reported to nurse physical abuse by staff member (CNA #10). DON and Administrator notified. Investigation initiated. Administrator interviewed (Resident #34) on 10/2/18 at approximately 10:25 am. (S/He) was noted to have a black bruise beneath (his/her) left eye. Upon closer observation, there was also a smaller, lighter area at the corner of (his/her) right eye. (Resident #34) said the night before (s/he) had put (him/herself) in bed. At approximately 11pm the CNA came into (his/her) room to change (his/her) clothes. (S/He) said the CNA was taking (his/her) pants off roughly and (s/he) called the CNA a (offensive name) and kicked her/him in the chest. In response (s/he) said the CNA punched (him/her) in the left eye. (S/He) said the CNA also tried to punch (him/her) in the right eye but (s/he) blocked most of it with (his/her) hand.
In an interview with the surveyor on 2/3/19 at approximately 11:30 AM, the Social Services Director stated the incident had been reported to the Activities Director and s/he reported it to him/her. The Social Services Director talked with Resident #58 and s/he said CNA #8 came in to provide care. CNA #8 made some statements about his/her size that day and s/he made a statement back about handling him/her. CNA #8 said ‘how about you go to the gym and handle the breasts on your back?’ The incident occurred in the resident’s room. Resident #59 had a roommate, but s/he never made a statement about what happened.
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