Deficiency in Personal Hygiene for Dependent Resident
Penalty
Summary
The facility failed to maintain adequate personal hygiene and grooming for a resident dependent on staff assistance for activities of daily living. Resident 120, who has diagnoses including dementia and muscle weakness, was observed with significant soiling on the soles of her feet while she was barefoot in bed. The floor in her room was noted to be dusty and gritty with a dark buildup around the edges. Staff interviews revealed that the resident frequently removes her footwear and prefers to walk barefoot, necessitating daily foot washing. The Director of Nursing confirmed that the resident disrobes and ambulates independently, and staff wash her feet as needed.
Plan Of Correction
This provided submits the following plan of correction in good faith and to comply with Federal regulations. This plan is not an admission of wrongdoing nor does it reflect agreement with the facts and conclusions stated in the statement of deficiencies. 1. Resident 120's feet were cleaned and ADL care was provided. 2. To identify other residents that have the potential to be affected, the DON/designee will audit residents that are care planned for removing footwear/walking barefoot and check their feet for black soiling. 3. Staff will be educated by staff development/designee on providing ADL care and providing podiatry care. 4. The DON/designee will conduct an audit 1x a week for 4 weeks on new admissions and residents with an updated care plan that has a focus on self-care deficit in regards to removing footwear/walking barefoot to ensure ADL care is provided to their feet and no black soiling is present. Results of the audits will be reviewed at the QAPI meeting to determine if future action/audits are needed.