Failure to Provide Timely ADL and Hygiene Assistance
Penalty
Summary
Staff failed to provide adequate assistance with activities of daily living (ADLs) for two residents who required support with personal hygiene. One resident, who needed substantial staff assistance for toileting hygiene due to limited mobility and weakness, was observed lying in bed in a hospital gown, appearing unclean and disheveled, with greasy hair and food crumbs in his beard. The resident reported frequently going to bed with a soiled brief and was unsure how often this occurred, but stated it happened often. His care plan indicated a need for staff assistance with bathing, grooming, personal hygiene, dressing, eating, bed mobility, transfer, locomotion, and toileting. Another resident, with a diagnosis of colostomy and requiring partial staff assistance for toileting hygiene and ostomy management, was observed dressed in a soiled hospital gown with feces present and a leaking ileostomy bag at the base. The resident stated his gown had been soiled since the previous night and that staff would promise to return to change him but did not follow through. He also reported waiting a long time for staff to answer the call light and to be changed since early in the morning. A Certified Nursing Aide confirmed that there were often not enough CNAs working, which delayed hygiene care for residents who needed assistance.