Failure to Provide Necessary Personal Hygiene Assistance
Penalty
Summary
The facility failed to provide necessary care and services to two residents who required assistance with activities of daily living. One resident, with a history of cerebral infarct, aphasia, and hemiparesis, was assessed as severely cognitively impaired and fully dependent on caregivers for personal hygiene. This resident was observed to have long, unkempt fingernails, indicating a lack of appropriate hygiene care. The clinical record confirmed the resident's dependency and need for full assistance. Another resident, diagnosed with cerebral infarct, dysarthria, and heart failure, was assessed as cognitively intact but required substantial to maximal assistance with personal hygiene. This resident was observed to have noticeable facial hair growth and expressed a desire for assistance in its removal. Staff interviews confirmed that both residents did not receive the necessary care and services as outlined in their care plans and facility policy.