Failure to Provide Timely ADL Assistance and Basic Care
Penalty
Summary
The facility failed to provide adequate assistance with Activities of Daily Living (ADLs) for eight out of sixteen residents, as evidenced by multiple resident interviews, review of facility documents, and grievances. Residents reported long call light response times, lack of assistance with personal care needs such as showers, and insufficient provision of basic necessities like fresh water and snacks. Several residents specifically mentioned that staff were often short-staffed and unable to meet their needs in a timely manner. Facility records showed missed or undocumented showers on scheduled dates for multiple residents, and grievances confirmed that some residents were not assisted as required, including one resident not receiving help from the overnight nurse aide until early morning hours. Resident Council minutes from three consecutive months further documented ongoing concerns, including lack of snacks, failure to empty catheter bags, and staff not completing rounds or providing care as expected. The Director of Nursing confirmed the failure to provide necessary ADL assistance for the affected residents. The facility's own policy required care to be provided as needed 24 hours a day to help residents attain and maintain the highest level of functioning, but this standard was not met for the residents identified in the report.