Failure to Ensure Proper Grooming and Hygiene for Resident with Intellectual Disability
Penalty
Summary
A resident with an intellectual disability, adjustment disorder, pyoderma gangrenosum, and psoriasis vulgaris was not properly groomed or provided with adequate hygiene. The resident's care plan indicated a need for assistance with self-care and mobility, with goals for cleanliness and grooming. Despite being cognitively intact and assessed as capable of independent self-care, facility documentation showed repeated refusals of showers and a lack of evidence that the resident received a bath over a two-week period. The clinical record did not support that the interdisciplinary team re-evaluated the resident's bowel and bladder management on a quarterly basis as required by policy. Observations by the compliance officer and staff revealed the resident was disheveled, malodorous, with visible skin flaking, stained clothing, and a walker with a brown dried substance. Interviews with another resident and staff confirmed the resident was often seen in this state and that staff attributed it to resistance to care, while also stating efforts were made to respect the resident's independence. Facility policies required staff to ensure residents are well-groomed and clean, but these standards were not met for this resident during the review period.