Failure to Provide Required Nail Care to Dependent Residents
Penalty
Summary
The facility failed to provide necessary nail care to three residents who required assistance with activities of daily living (ADLs). One male resident with severe cognitive impairment and contracted hands was observed with long nails and a brownish substance underneath, despite being care planned for total staff participation in personal hygiene. A female resident with mild cognitive impairment, who required partial assistance, was found with a broken nail and long, dirty nails on all fingers. Another male resident with moderate cognitive impairment and a documented need for partial assistance was observed with long nails and a broken, jagged nail. Interviews with nursing staff confirmed that nail care, including trimming and grooming, should be provided on shower days, as outlined in the facility's policy. However, observations and record reviews indicated that these residents did not receive the required nail care, despite their documented deficits and care plans specifying the need for staff assistance with personal hygiene.