Failure to Implement Person-Centered Hygiene Care Plans
Penalty
Summary
The facility failed to implement person-centered care plans for personal hygiene for two residents with significant self-care deficits. For one resident with dementia, confusion, impaired mobility, and contractures, the care plan required staff assistance with activities of daily living (ADLs), including personal hygiene and nail care as needed. Despite this, the resident was observed with long fingernails and a brown substance under every nail bed, and staff interviews confirmed that the care plan was not followed. Documentation showed the resident was dependent for personal hygiene, with no refusals recorded during the review period. Another resident, dependent on staff due to right-side hemiparesis, contracture, and impaired mobility, had a care plan specifying total dependence on staff for bathing and personal hygiene. Observations revealed the resident had unkempt, greasy hair and long, jagged fingernails with a brown substance underneath. Staff interviews confirmed that nail and hair care were not performed as required by the care plan, and that there was no set schedule for nail care. The care plan was acknowledged by staff to include these hygiene tasks, but they were not carried out, resulting in the resident not being kept clean and presentable as intended.