Deficiencies in Personal Hygiene and Oral Care
Penalty
Summary
The facility failed to provide timely oral care and personal hygiene shaving care for two dependent residents. One resident was observed with significant facial hair, including a mustache and chin hair, which she expressed a preference to have removed. Despite requiring substantial assistance with personal hygiene due to moderate cognitive impairment and other health conditions, the resident reported not being offered shaving assistance by the CNAs. The facility's policy and the Director of Nursing confirmed that shaving is part of the daily grooming routine for all residents, including females, and should be documented if refused. Another resident was observed with a creamy brown substance on her teeth, indicating a lack of oral care. When questioned, the resident stated that it had been a long time since staff assisted with mouth care. The CNA present acknowledged not having provided mouth care to the resident but indicated an intention to do so later. The resident's care plan noted a self-care deficit requiring assistance with ADLs, and the facility's policy mandates daily oral hygiene. These deficiencies highlight a failure in the facility's adherence to its policies regarding personal hygiene and oral care, impacting the residents' dignity and quality of life. The facility's policies and job descriptions emphasize the importance of maintaining residents' grooming and hygiene, yet the observations and resident interviews indicate lapses in the execution of these duties.