Failure to Provide Adequate Grooming and Hygiene Services
Penalty
Summary
The facility failed to provide adequate grooming and hygiene services for two residents who required extensive assistance with activities of daily living (ADLs). Resident 49, diagnosed with dementia, diabetes mellitus, and polyneuropathy, was observed with long and dirty fingernails on two consecutive days, despite the care plan indicating that staff should trim nails on shower days. The resident was able to communicate his needs and expressed that his fingernails needed to be cut. Similarly, Resident 63, who had a history of stroke, chronic pain, and depression, was also observed with long and dirty fingernails and an unshaved beard. The care plan for this resident included interventions for nail trimming and facial hair grooming on shower days. The resident communicated his desire for his fingernails to be cut and his beard shaved. The Director of Nursing confirmed that the residents' grooming needs should have been addressed during bathing and as needed.
Plan Of Correction
1. Resident 49 fingernails were cut during survey. Resident 63 fingernails were cut, and his beard was trimmed on evening shift on 3/5/25. 2. DON/ADON did a house-wide audit on current residents listed as dependent with ADL. 3. Educated Unit managers on ADL care policy, as well as CNA's and LPNs. 4. DON or designee will conduct weekly audits during rounds to sample five dependent residents on each unit to ensure they receive nail care and facial hair grooming on shower days. Audits will be conducted weeklyx3 for two weeks, and then weeklyx4. Results will be reviewed at QAPI.