Failure to Provide Necessary ADL Assistance for Dependent Resident
Penalty
Summary
A resident with diagnoses including abnormal posture, weakness, dysphagia, and unspecified dementia was admitted to the facility and was documented as being dependent on staff for activities of daily living (ADLs) such as toileting, dressing, and personal hygiene. The resident's care plan included interventions for dressing and changing as needed. However, observations and interviews revealed that the resident's clothing had not been changed for three days, as evidenced by a persistent red food stain on the left sleeve of the resident's long-sleeved shirt. Family and staff confirmed the clothing had not been changed, and the stain appeared old and dried. Additionally, it was observed and reported that the resident's teeth were not brushed after breakfast, leaving brownish dried residue on the teeth. Staff interviews confirmed that residents should have their clothing changed and teeth brushed at least once daily. Facility policies reviewed indicated that residents unable to perform ADLs independently should receive necessary services to maintain grooming, dressing, and personal and oral hygiene, as well as the right to a dignified existence. These services were not provided as required for this resident.