Failure to Provide and Document Required Nail Care for Dependent Diabetic Resident
Penalty
Summary
A resident with diabetes, osteoarthritis, fragile skin, decreased mobility, and cognitive deficits was admitted to the facility and had a care plan intervention to keep fingernails short. The clinical record showed an order for daily shift fingernail care every Friday, which was discontinued, and no further documentation of diabetic nail care was found for April and May 2025. Observations on two occasions revealed the resident's fingernails were approximately half an inch long and jagged, and the resident expressed concern about potential injury from the nails. Staff confirmed the resident's nails were long and that there was no documentation of nail care provided. Facility policy required nurses to provide and document nail care for diabetic residents, but this was not done for the resident in question.