Failure to Provide ADL Assistance for Grooming
Penalty
Summary
The facility failed to provide necessary activities of daily living (ADL) assistance to maintain good grooming for Resident R24. The resident, who was admitted on August 31, 2022, has diagnoses including chronic atrial fibrillation, osteoarthritis, adult failure to thrive, and low back pain. According to the quarterly Minimum Data Set (MDS) dated March 7, 2025, Resident R24 was cognitively intact with a Brief Interview for Mental Status (BIMS) score of 13 and required maximum assistance with personal hygiene. On April 22, 2025, an observation by Licensed Nurse Employee E12 revealed that Resident R24 had long and dirty fingernails, and the resident expressed a desire to have them trimmed. A follow-up observation on April 23, 2025, showed that the resident's right thumbnail remained untrimmed and dirty, and Employee E12 was unsure why all the nails had not been cut.
Plan Of Correction
A - Resident R24 had their fingernails cleaned and trimmed. B - An audit of all dependent residents was completed to ensure fingernails were cleaned and trimmed. C - Staff educated on providing proper fingernail care to dependent residents. D - Weekly x 4 then monthly x 2 audits completed by DON or designee on all dependent residents to ensure fingernails are clean and trimmed. Results discussed during QAPI meetings.