Failure to Provide ADL Support: Residents Not Shaved or Dressed in Clean Clothing
Penalty
Summary
The facility failed to provide necessary care and services to ensure that two residents dependent on staff for activities of daily living (ADLs) were properly groomed and dressed in clean clothing. One resident, who had upper extremity impairment and required assistance with personal hygiene, was observed on multiple occasions with long facial hair around the chin area. The resident reported not always being offered shaving and expressed a desire to have facial hair removed, stating they had never refused when offered. Staff interviews revealed uncertainty about whether they could shave the resident, and the Director of Nursing Services was unaware that the resident had not been offered shaving, which did not meet facility expectations. Another resident, dependent on staff for personal hygiene and dressing due to conditions including COPD, dementia, and muscle weakness, was observed over several days wearing the same visibly soiled shirt. Staff confirmed that the resident received a bed bath but was not changed into clean clothes because their shirts had not returned from the laundry. Staff stated that the expectation was for residents to wear clean clothing at all times, and if clean clothes were unavailable, items from donations should be used. These findings were based on observations, interviews, and record reviews.