Failure to Provide Timely Incontinence and Nail Care
Penalty
Summary
The facility failed to provide timely incontinence care and nail care for two residents. One resident with severe cognitive impairment, dementia, and multiple comorbidities was observed to be frequently incontinent of urine. On several occasions, the resident was seen sitting in urine-soaked clothing for extended periods, including a visible wet stain on her pants that remained for nearly an hour. Staff interviews confirmed that the resident was to be checked and changed at least every two hours, but observations indicated lapses in this routine, with the resident remaining unattended and unchanged for significant periods. Another resident, dependent on staff for personal hygiene due to conditions such as Parkinson's disease and weakness, was observed with a broken fingernail and a brown substance under all her nails. The broken nail had been present for several days, and the resident expressed dissatisfaction with her nail care. Staff acknowledged the issue, with one CNA stating discomfort in trimming the nail due to its condition, and subsequently began cleaning the resident's nails only after the issue was brought to their attention. Facility policy required regular cleaning and maintenance of nails, which was not followed in this instance.