Failure to Provide Necessary Personal Hygiene Care
Penalty
Summary
The facility failed to ensure that a resident who was unable to carry out activities of daily living received the necessary care and services to maintain good personal hygiene. Specifically, a resident who required extensive assistance with personal hygiene and was dependent on staff for showers and bathing was observed with long fingernails and a contracted left hand. The facility's policy required nail care as part of routine activities of daily living, and the resident's care plan included an intervention to trim nails weekly and as needed. However, observations revealed that the resident's fingernails were long, stained, and curling into their contracted left hand, indicating a lack of adherence to the care plan. Interviews with facility staff further highlighted the deficiency. A Certified Nurse Aide who provided care to the resident did not notice the long fingernails during their shift, and upon being shown the resident's fingernails, acknowledged that they were too long and should be clipped. A Registered Nurse Unit Manager also confirmed that the resident's fingernails were too long and needed to be trimmed to prevent them from digging into the palm of the resident's contracted hand. These observations and interviews demonstrate a failure to provide the necessary personal hygiene care as outlined in the resident's care plan and facility policies.