Failure to Provide Assistance with Facial Grooming for Resident Requiring ADL Support
Penalty
Summary
The facility failed to provide adequate assistance with activities of daily living (ADLs), specifically facial grooming, for one resident who required help due to physical limitations. The resident, who was cognitively intact and had diagnoses including generalized anxiety disorder, depression, and muscle weakness, was assessed as needing assistance with personal hygiene and grooming. The care plan indicated the resident should be clean, dressed, and well-groomed daily. Despite this, multiple observations over two days showed the resident with 1.5 inches of facial hair on the chin and upper lip, which the resident did not want and repeatedly requested to have removed. Interviews with the resident, CNAs, and nursing staff revealed that the resident had been asking for assistance with shaving but did not receive it. The CNA assigned to the resident acknowledged awareness of the need for assistance with all ADLs, including facial grooming, but had not provided the care. The DON confirmed that CNAs are expected to offer facial hair removal to residents and that this should have been addressed during daily ADL care, but it was not done for this resident.