Failure to Assist Residents with Personal Hygiene and Grooming
Penalty
Summary
The facility failed to provide adequate assistance with activities of daily living (ADLs) for several residents who required help with personal hygiene and grooming. Five residents were identified as needing assistance, yet they were observed with unkempt facial hair and long, jagged fingernails. These residents, despite being alert and oriented, expressed their desire for staff assistance, which was not provided. The Director of Nursing (V2) acknowledged the need for grooming and hygiene assistance during observations. One resident, with a diagnosis of muscle disorder, was observed with long facial hair and expressed a desire for staff to shave him. Another resident, with a displaced fracture and muscle atrophy, had long and jagged fingernails and reported asking staff for assistance multiple times without receiving help. Similarly, other residents with various diagnoses, including acute respiratory failure and multiple sclerosis, were observed with long, unkempt fingernails and expressed their need for staff assistance, which was not provided. Additionally, a resident with multiple health issues, including respiratory failure and morbid obesity, reported not receiving regular bed baths and had a urinal left on the tray table next to their meals. This resident expressed that hygienic care was not offered on non-shower days, contrary to the facility's expectations. The Director of Nursing confirmed that staff are expected to provide daily hygienic care, including shaving and nail care, as needed, but these services were not consistently provided to the residents.