Failure to Provide Required ADL Assistance and Nail Care
Penalty
Summary
The facility failed to provide necessary assistance with activities of daily living (ADLs) for two residents who were assessed as needing help. One resident, who had a compression fracture in the spine and required moderate assistance with bathing, was scheduled for showers twice weekly according to the care plan and facility policy. However, observations and interviews revealed that this resident repeatedly requested showers and was told by staff that it would be done the following day, resulting in no showers being provided over an eight-day period. The resident's fingernails were also observed to be overgrown, and staff confirmed that nail care should have been provided on shower days. Another resident, who was dependent on staff for dressing and repositioning and had diabetes, was assessed to require weekly diabetic nail care by a licensed nurse. Despite documentation indicating that nail care was provided, observations showed the resident's toenails were long, cracked, and curling, and the resident reported that requests for nail care were not fulfilled. Staff confirmed the importance of nail care and acknowledged that the resident's toenails had not been properly trimmed.