Failure to Provide Nail Care for Dependent Resident
Penalty
Summary
A dependent resident who required total assistance with activities of daily living (ADLs) did not receive appropriate nail care. Review of the care task log showed that the resident's nail care was marked as not applicable on the morning of the observed date. Multiple observations throughout the day revealed that all ten of the resident's fingernails were yellowed, extended one-fourth to one-half inch beyond the fingertips, and had an unknown gray substance visible underneath. The resident expressed a desire to have his fingernails cut. Staff interviews confirmed that the resident required total assistance with ADLs, and the Assistant Director of Nursing acknowledged that the resident's nails needed to be cut and cleaned. The repeated observations and documentation review indicated that the facility failed to provide necessary nail care and assistance for this dependent resident.