A bedbound resident has not had ROM exercises for several days. The CNA notices the resident's fingers are curling tightly toward the palm and cannot be opened easily. This finding is MOST consistent with:
Explanation
A contracture is permanent shortening of muscles, tendons, or joint capsules due to immobility, leading to a fixed deformity. It is a preventable complication; once established, it severely limits function and hygiene. 42 CFR §483.25(c) states a resident with limited ROM must receive appropriate treatment and services to increase ROM or prevent further decrease. Aging alone does not cause contractures (b). It is not strength (a) and does not reverse on its own (d). The CNA must report and document immediately so the nurse can adjust the care plan.
Law Reference: 42 CFR §483.25(c); Title 22 CCR §72315This topic, taught in full in the Certified Nursing Assistant (CNA) guide. CNA — Complete Study Guide (2026) — PDF + EPUB, $19.99 · 14-day refund →
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