Failure to Provide Timely and Adequate ADL Assistance for Hygiene and Grooming
Penalty
Summary
The facility failed to provide timely, adequate, and necessary staff assistance with activities of daily living (ADLs), specifically in the areas of personal hygiene and grooming, for multiple residents. One resident with Parkinson's disease, who was cognitively intact but required substantial staff assistance, was observed on two occasions with dry, flaky skin and long, unkempt facial hair. The resident reported that staff only shaved him once every week to two weeks, despite his preference to be clean-shaven, and staff confirmed they had not provided facial care or shaving as part of morning care. Facility policy required that residents unable to perform ADLs independently receive necessary services to maintain grooming and hygiene. Another resident with dementia and muscle weakness, who was severely cognitively impaired and required staff assistance for oral hygiene, was observed with a thick yellow build-up and food between her teeth. Staff confirmed that oral care had not been provided before or after breakfast. A third resident, dependent on staff for all ADL care due to Alzheimer's disease and muscle weakness, was also observed with significant yellow build-up between the teeth, and the assigned CNA admitted that oral care was not always provided due to time constraints. These findings were consistent with the facility's policy, which mandates support for residents' ADLs, including personal and oral hygiene.