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F0677
D

Failure to Provide Regular Nail Care for Dependent Resident

Westland, Michigan Survey Completed on 05-29-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

A deficiency was identified when a resident with a history of stroke, functional quadriplegia, and anxiety, who required substantial staff assistance for all activities of daily living (ADLs) and mobility, was observed to have very long fingernails extending about 3/4 of an inch beyond the fingertips, with visible debris that was yellow and darker in color. The resident expressed a desire to have their nails trimmed but also reported anxiety about the process, fearing their skin might be nipped. Interviews with nursing staff, including an RN and the ADON, confirmed that regular nail care should be provided as part of ADLs, indicating that the facility failed to provide necessary nail care for this resident.

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