Failure to Provide ADL Care and Personal Hygiene Assistance
Penalty
Summary
A deficiency was identified when a resident with Parkinson's disease and generalized muscle weakness, who required assistance with activities of daily living (ADLs), did not receive appropriate personal hygiene care. The resident's care plan specified the need for set-up or clean-up assistance with personal hygiene, including shaving and bathing on scheduled days. Despite these interventions, observations revealed the resident had not been shaved and had not received a bath for a week, as evidenced by the presence of long whiskers and beard hair. The resident reported a preference for being shaved and stated he was unable to shave himself, believing he had only been shaved once during the month. Review of facility records showed inconsistencies in documentation, with no record of showers or bathing for the resident throughout the month, despite shower sheets indicating otherwise. During an interview, the nurse aide assigned to the resident admitted to not feeling comfortable shaving him due to her own arm tremors and could not recall who, if anyone, was asked to complete the shaving. The aide also acknowledged sometimes forgetting to complete shower documentation. The Director of Nursing confirmed that shower sheets should be completed after each bath or shower and that the resident should have been shaved if requested.