Failure to Maintain Resident Nail Hygiene
Penalty
Summary
A deficiency was identified when a resident's fingernails were observed to be unclean, with black-colored matter present under all fingernails. The resident reported that no one had come to clean her nails despite her repeated requests, expressing dissatisfaction with the condition of her nails. During the observation, an LVN confirmed the presence of dirt under the nails and acknowledged that this could be an infection issue, emphasizing the need to keep nails clean to prevent infection. The DON stated that CNAs are responsible for daily cleaning of residents' fingernails to prevent infection. Review of the facility's policy indicated that daily cleaning and regular trimming of nails are required to prevent infections and skin problems around the nail bed.