| 73 |
BANGOR NURSING & REHABILITATION |
205020 |
103 TEXAS AVE |
BANGOR |
ME |
4401 |
2018-08-08 |
600 |
D |
1 |
1 |
FGCE11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on interviews, written and verbal statements and review of the facility reportable incident form, the facility failed to ensure that 1 of 1 resident reviewed (Resident #48) was free from physical abuse. Finding: A review of the facility's Nursing Facility Reportable Incident Form dated 5/21/18, indicated that on 5/21/18 at approximately 2:20 p.m. a housekeeper reported to the Director of Nursing (DON) that Resident #48 was kicking the housekeeping cart and that Certified Nursing Assistant #1 (CNA #1) approached Resident #48 and saw Resident #48 slap CNA #1 who then hit Resident #48 back. During the facility's internal investigation, a written statement from the housekeeper reports that Resident #48 started kicking her cart, housekeeper asked Resident #48 to please stop, CNA #1 came over to Resident #48 and asked him/her to stop kicking, he/she then yelled at CNA #1 to stop telling him/her what to do. Resident #48 attempted to get out of his/her wheelchair and CNA #1 told Resident #48 to sit back down and not to come near her. Housekeeper saw Resident #48 hit CNA #1 and saw CNA #1 hit Resident #48 back. The written statement further indicates that CNA #1 yelled at Resident #48 using vulgar language to get away from her and not to touch her. A written statement from CNA #2 who was working with CNA #1 states that CNA #1 was witnessed pushing Resident #48's wheelchair around out of anger. Written statement from CNA #1 states that Resident #48 was going after her and she pushed his/her chair in the opposite direction, he/she then turned around and slapped CNA #1 on the arm/shoulder. Documentation on the 'Nursing Facility Reportable Incident' Form/5 day follow up, indicated on 5/23/18 during a phone interview with the DON, the housekeeper added to her previous statements that Resident #48's spouse had just left and Resident #48 was upset, the housekeeper (witness) states that CNA #1 was standing with Resident #48 in the hallway/alcove across from Resident #48's room. The housekeeper reports that she overheard CNA #1 telling Resident #48 Don't you touch me, (using vulgar language), you treat them bad anyways, I don't blame them for leaving and after that was when Resident #48 came over to the housekeeping cart and kicked it. The housekeeper reports that she asked him/her not to kick the cart as something might break and Resident #48 responded Do you want to see a broken person?, and CNA #1 came over and Resident #48 slapped CNA #1 on the arm and CNA #1 slapped him/her back. Resident #48 and CNA #1 were flailing their hands in the air at each other and she is 100% sure contact was made by CNA #1. The housekeeper then states that CNA #1 told Resident #48 again to get away from her (using vulgar language). On 5/24/18 the DON met with CNA #2 again to go over the incident. CNA #2 reviewed her written statement from 5/21/18 and reports that CNA #1 was in the alcove with Resident #48. CNA #2 witnessed CNA #1 take ahold of the wheelchair and turn it around with force. CNA #2 reports that CNA #1 was raising her voice and telling Resident #48 not to follow her, CNA #2 stated CNA #1 was using vulgar language. CNA #2 states she did not see any physical contact but does report she saw both the resident and CNA #1 flailing their hands at each other. On 8/7/18 at 11:10 a.m., during an interview with the surveyor, the housekeeper who witnessed the incident, stated that it was late afternoon and she was cleaning Resident #48's room and heard shouting, CNA #1 was swearing at Resident #48 to sit down, he/she was attempting to stand up out of his/her chair. CNA #1 turned his/her chair quickly and Resident #48 came over to the housekeeping cart and started kicking it. The housekeeper then brought the cart half way into his/her room and CNA #1 came over and asked him/her to stop, the resident became aggressive towards CNA #1 and they started flapping their hands at each other. CNA #1 brought her arm up and she hit him/her on his/her shoulder. The housekeeper believes it was the left side. Resident #48 hit her back, the housekeeper was not sure if it was on his/her wrist or arm. CNA #1 turned to him/her and told him/her to sit down and not to touch her using vulgar language. On 8/7/18 at 2:15 p.m., in an interview with the surveyor CNA #2 stated that it was after lunch and she witnessed CNA #1 grab Resident #48's chair and pushed it quickly to the side. CNA #1 screamed don't hit me using vulgar language and said he/she hit me, then shoved the chair. On 8/7/18 at 2:45 p.m., in an interview with the surveyor, the Administrator stated that after their investigations and review of the video, they substantiated mistreatment of [REDACTED].#1's employment. |
2020-09-01 |