Failure to Provide Timely ADL Assistance and Nail Care
Penalty
Summary
The facility failed to provide adequate assistance with activities of daily living (ADL) for two residents. One resident, with a history of cellulitis and depression, reported that her fingernails were long and needed trimming. Observations confirmed that her nails extended well past her fingertips and had worn green polish. Despite receiving a bed bath, documentation did not indicate that nail care was provided or refused, and the resident continued to report untrimmed nails over several days. Staff interviews confirmed that nail trimming should occur on shower days and as needed, but this was not documented or completed for the resident. Another resident, diagnosed with paraplegia and a history of repeated falls, required staff assistance for transfers. The resident was observed waiting for an extended period with her call light on, expressing discomfort and pain from wounds on her backside while waiting to be transferred back to bed. She indicated that staff told her she would have to wait until after lunch for assistance. Staff interviews and observations confirmed that care delays occurred during high care times, such as mealtimes, resulting in the resident having to wait for necessary assistance with transfers.