Failure to Provide Shaving Assistance for Dependent Resident
Penalty
Summary
A resident with diagnoses including muscle weakness, pain, high blood pressure, and heart failure was dependent on staff for assistance with personal hygiene and grooming, as documented in the care plan and Minimum Data Set (MDS) assessment. The resident was observed on two consecutive days to have visible chin hairs up to 1/2 inch long and expressed dissatisfaction with the presence of chin hairs, stating a desire for staff assistance with shaving. Despite having a razor available and being assisted with other aspects of morning grooming, staff did not offer or provide shaving during these times. Interviews with nursing staff revealed a lack of awareness and follow-through regarding the resident's need and preference for shaving. One nursing assistant stated she was unaware of the need and did not offer shaving during morning care, while a registered nurse and the director of nursing both indicated that residents should be shaved at least weekly or as requested, especially if visible chin hair was present. The facility's policy on shaving and grooming was requested but not provided.