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F0687
D

Failure to Provide Timely Toenail Care

Carmichael, California Survey Completed on 05-23-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

A resident admitted in July 2024 with respiratory failure and COPD was observed to have overgrown toenails extending past the edge of her toes. The resident reported that her toenails frequently became caught on bed linens and expressed concern about scratching herself. During observations and interviews, both a licensed nurse and the Director of Nursing acknowledged that the resident's toenails needed trimming and confirmed that it was within the licensed nurse's scope of practice to provide this care. Review of facility policy indicated that nail care should include daily cleaning and regular trimming, but the resident had not received appropriate toenail care as required.

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