Failure to Provide Nail Care for Residents Needing ADL Assistance
Penalty
Summary
The facility failed to provide appropriate nail care for two residents who required assistance with activities of daily living. One resident was observed on multiple occasions with long fingernails and a dark brown substance under all nails, despite documentation indicating that nail care had been completed. The resident expressed dissatisfaction with the condition of their nails, and both an activity aide and a licensed practical nurse confirmed the nails were long and dirty. The CNA responsible for the resident's care stated that she only wiped the resident's hands with a washcloth and did not soak, clip, or clean under the nails as required by facility policy. Another resident, who was moderately cognitively impaired and required substantial assistance with personal hygiene, was observed with long, jagged, and sharp fingernails. The resident reported not knowing where to get their nails cut and that their nails were breaking off. The DON confirmed that the resident's nails were long, broken, and jagged and should have been clipped. These findings indicate that the facility did not follow its own nail care policy, which requires routine cleaning, trimming, and documentation of nail care for residents needing assistance.