Failure to Provide Personal Hygiene and Grooming for Dependent Residents
Penalty
Summary
The facility failed to provide necessary services to maintain personal hygiene for three residents who were dependent on staff for activities of daily living (ADLs). For one resident with Parkinson's disease, hemiplegia, and diabetes, observations revealed long, uneven fingernails with a brown substance underneath. The resident reported that staff would not clip their nails due to their diabetic status, despite care plan interventions directing staff to check, trim, and clean nails as needed. Staff interviews confirmed that nail care for diabetic residents was deferred to nursing staff, but the resident's nails remained untrimmed and uncleaned. Another resident with severe cognitive impairment, diabetes, and monoplegia was observed to have obvious facial hair on the upper lip and chin during multiple observations. The care plan required daily grooming and hygiene, but a CNA stated that shaving was not completed due to time constraints. Facility leadership confirmed that staff were expected to provide grooming and hygiene as needed and to request assistance if unable to complete tasks. A third resident, also with severe cognitive impairment and hemiplegia, was observed over several days to have long, thick, yellow, and jagged fingernails with debris underneath. The care plan directed staff to check, trim, and clean nails on bath days and as necessary. A CNA reported difficulty trimming the resident's thick nails and did not complete the task, while the assigned nurse was not informed of the issue. Facility leadership stated that concerns with nail care should be reported to nursing staff for follow-up, but this was not done, resulting in the resident's nails remaining in poor condition.