Failure to Provide ADL Care According to Resident Preference
Penalty
Summary
A deficiency was identified when a resident with severe cognitive impairment, paralysis, and a history of heart disease and strokes was not provided with personal hygiene care according to their preferences. The resident was observed on multiple occasions to have an unshaven face and an unkempt appearance, despite expressing a preference to be clean-shaven. Interviews with staff confirmed that shaving was only performed on shower days, which was the facility's usual procedure, rather than according to the resident's stated preference. The resident's care plan indicated a need for assistance with personal hygiene due to significant physical and cognitive limitations. Documentation reviewed did not specify shaving as a separate hygiene task, and the Director of Nursing stated that the resident could request to be shaved, without addressing the impact of the resident's cognitive impairment on their ability to make such requests. This failure to provide ADL care in accordance with the resident's preferences and needs led to the identified deficiency.