List of Facts Regarding “Improper Care Practices” and “Violation of Care Contract” at Chang Sheng Nursing Home
長生養老院「不當照護行為」與「違反照護契約」事實清單
壹、 肢體虐待與人身侵害（涉及刑事傷害罪）
- 惡意傷害身體： 照護人員利用住民失明、無法反抗之弱勢，以不明利器割傷其左手小指（傷口深及骨骼，縫合五針）。
- 不當肢體暴力： 以不明硬物（如血壓計）攻擊住民腹部。
- 羞辱性凌虐： 以手指惡意掐捏住民乳頭，對高齡者進行人格尊嚴之踐踏。
- 粗魯搬移致傷： 協助住民上下床時動作粗暴，未按標準SOP保護肢體，導致住民下肢頻繁碰撞受傷。
貳、 醫療疏忽與隱匿傷情（涉及醫療法與遺棄罪）
- 延誤救治： 在住民受傷出血後，照服員與機構人員未第一時間止血或通報醫療人員，放任傷口流血數小時。
- 規避責任與隱瞞： 機構人員（護理師）面對家屬質疑時，試圖以「巴金森氏症導致手抖自傷」等偽證誤導家屬與警方，掩蓋暴力事實。
- 拒絕協助送醫： 在警方到場、傷勢明顯嚴重之情況下，櫃檯人員仍拒絕提供救護協助，且拒絕提供交通工具送醫，嚴重違反機構緊急醫療處理義務。
參、 飲食照護與營養剝奪（涉及照護契約違約、精神虐待）
- 強迫灌食行為： 忽視住民意願及家屬（要求停奶）之請求，每日強行灌食牛奶。若住民吞嚥不及，則噴濺全身，造成住民極大心理恐懼與身體不適。
- 餐食營養嚴重失衡：
- 針對弱勢住民： 對於無法自行進食之住民，僅提供品質低劣之稀飯（僅有微量海帶與大量香油），缺乏蛋白質。
- 高血糖飲食缺失： 提供大量精緻澱粉與炸物，完全無視糖尿病住民之醫療飲食需求。
- 惡意進食時限： 對於需餵食或吸食流體之住民，設定不合理時限，導致住民長期處於飢餓與營養不良狀態，危及生命。
肆、 專業倫理與管理疏失（涉及長期照顧服務法）
行政人員包庇： 機構行政人員、護理師與國軍替代役人員於事發後形成包庇體系，集體對抗家屬，試圖阻撓真相發覺。
缺乏適任監督： 照服員（移工）於病房內肆意妄為，機構管理階層明顯缺乏巡房與監控制度。
照護人員態度惡劣： 面對家屬質疑時，護理人員非但未展現專業精神，反而以嘲諷、不耐煩之語氣應對（如：「不過是手受傷，大驚小怪」）。
List of Facts Regarding “Improper Care Practices” and “Violation of Care Contract” at Chang Sheng Nursing Home
I. Physical Abuse and Personal Injury (Involving Criminal Offenses of Assault)
Malicious Injury: Caregivers exploited the resident’s blindness and inability to resist by cutting the resident’s left little finger with an unknown sharp object (the wound was deep enough to reach the bone, requiring five stitches).
Inappropriate Physical Violence: Attacking the resident’s abdomen with an unknown hard object (such as a blood pressure monitor).
Humiliating Abuse: Maliciously pinching the resident’s nipples with fingers, trampling on the dignity of the elderly.
Rough Handling Injuries: Assisting the resident with rough handling when getting in and out of bed, failing to follow standard operating procedures (SOPs) to protect limbs, resulting in frequent collisions and injuries to the resident’s lower limbs.
II. Medical Negligence and Concealment of Injuries (Involving Medical Law and Abandonment Offenses)
Delayed Treatment: After the resident was injured and bleeding, caregivers and facility staff failed to stop the bleeding immediately or notify medical personnel, allowing the wound to bleed for several hours.
Evasion of Responsibility and Concealment: When questioned by family members, staff (nurses) attempted to mislead the family and police with false testimony such as “Parkinson’s disease causing self-injury due to hand tremors,” thus covering up the violence.
Refusal to Assist with Medical Treatment: Even with police present and the injuries clearly serious, front desk staff refused to provide first aid and transportation to the hospital, severely violating the institution’s emergency medical obligations.
III. Dietary Care and Nutritional Deprivation (Involving Breach of Care Contract and Psychological Abuse)
Forced Feeding: Ignoring residents’ wishes and family requests (to stop breastfeeding), milk was forcibly fed daily. If residents couldn’t swallow, it would spray all over their bodies, causing extreme psychological fear and physical discomfort.
Severe Nutritional Imbalance:
Targeting Vulnerable Residents: For residents unable to feed themselves, only low-quality porridge (containing only trace amounts of seaweed and large amounts of sesame oil) was provided, lacking protein.
Deficiency of High-Glycemic Diets: Large amounts of refined starches and fried foods were provided, completely ignoring the medical dietary needs of diabetic residents.
Malicious Feeding Time Limits: Unreasonable time limits were set for residents requiring feeding or liquid intake, leading to prolonged hunger and malnutrition, endangering their lives.
IV. Professional Ethics and Management Negligence (Related to the Long-Term Care Services Act)
Administrative Cover-Up: After the incident, the institution’s administrative staff, nurses, and alternative service personnel formed a cover-up system, collectively opposing the family and attempting to obstruct the discovery of the truth.
Lack of Competency Supervision: Caregivers (migrant workers) acted recklessly in the wards, and the institution’s management clearly lacked ward rounds and monitoring systems.
Poor Attitude of Caregivers: When faced with questions from the family, nursing staff not only failed to demonstrate professionalism but also responded with mockery and impatience (e.g., “It’s just a hand injury, what’s the big deal?”).
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