State Findings:
Based on observations, staff, Nurse Practitioner, responsible party and police interviews, and record review the facility failed to prevent staff to resident abuse for 1 of 1 residents. Resident #7 was struck by a nurse aide four or five times with a closed fist during care. This physical abuse resulted in Resident #7 experiencing bruising to his left arm. The resident had an x-ray and was found to have no fractures.
Immediate Jeopardy began on 11/19/19 when Resident #7 was receiving incontinent care from Nurse Aide (NA) #3 and NA #3 struck Resident #7 four or five times with a closed fist. Immediate jeopardy was removed on 11/21/19 when the facility provided and implemented an acceptable allegation of Immediate Jeopardy removal. The facility remains out of compliance at a lower scope and severity of D (no harm with the potential for more than minimal harm that is not immediate jeopardy) to ensure monitoring systems put in place are effective.
During an interview on 11/21/19 at 1:37 PM Resident #7’s family member stated Resident #7 had delusions and thought people were out to get him and on 11/20/19 Resident #7 was making delusional statements. The family member stated on 11/20/19 he showed the Facility Nurse Consultant bruises on Resident #7’s arm. The family member stated at this point Resident #7 told the Facility Nurse Consultant he had been hit. Facility Nurse Consultant then brought the administrator to the resident’s room and Resident #7 then told the Administrator he thought he was hit by Nurse Aide #3 but could not remember what time or the date. The Administrator informed them she would contact the police. The family member specified the police detective arrived and Resident #7 told him a female staff member upset him, and said if you hit me, I’ll hit you back twice as hard. The family member stated Resident #7 told the police detective he hit the staff member and in response the staff member hit him four
times. The family member said the police detective told him on 11/21/19 Nurse Aide #3 quit last night and the reason she hit Resident #7 was because he called her a b
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