Failure to Provide Timely and Preferred ADL Care
Penalty
Summary
The facility failed to provide timely and appropriate Activities of Daily Living (ADL) care, including bathing and grooming, to several residents who required assistance. One resident, recently admitted with cellulitis, diabetes, and osteomyelitis, reported not receiving showers as scheduled and instead often received bed baths, despite a clear preference for showers. Documentation showed missed scheduled shower days and a lack of adherence to the resident's care plan, which specified showers twice weekly. The resident was observed with greasy hair, and staff interviews confirmed a lack of understanding regarding the difference between bed baths and partial bed baths. Another resident with multiple chronic conditions, including diabetes and depression, was observed with very long and jagged toenails, despite physician orders for nail clipping on shower days. The resident's care plan called for showers twice weekly and regular nail trimming, but records indicated only three showers were provided over a month. The resident expressed discomfort due to the length of her toenails, which were observed by staff and visitors, and reported a fear of nail clipping due to a previous bad experience. A third resident, admitted for rehabilitation after a hospital stay, had not received a shower since admission and expressed a strong preference for showers over bed baths. The resident's care plan required showers twice weekly, but records showed only one shower and multiple bed baths during the stay. The resident also had unshaven facial hair, which he did not prefer, and reported that no one had offered to shave him. Staff and documentation confirmed the lack of adherence to the resident's bathing and grooming preferences.