Failure to Provide Adequate Nail Care for Residents
Penalty
Summary
The facility failed to provide adequate nail care for two residents, leading to unmet care needs. Resident 85, who was admitted with conditions including hypertension and cerebellar stroke syndrome, was observed with excessively long fingernails and toenails, despite expressing a desire for them to be trimmed. The resident's care plan indicated resistance to care, but also emphasized the need for providing choices during care provision. Observations over two days confirmed that the resident's nails remained untrimmed, and a Licensed Practical Nurse acknowledged the need for trimming. Resident 8, admitted with diagnoses such as cerebral infarction and type two diabetes, was also found with long fingernails and toenails, chipped nail polish, and debris under the nails. The resident's care plan noted difficulties in performing daily living tasks. Observations confirmed the lack of nail care over several days, and interviews with staff, including a CNA and LPN, revealed that CNAs were primarily responsible for nail care during showers, but all staff were expected to assist with residents' needs. The Director of Nursing reiterated this responsibility, highlighting a systemic failure in providing necessary personal care.