Failure to Provide Assistance with ADLs: Bathing and Grooming
Penalty
Summary
The facility failed to provide necessary assistance with activities of daily living (ADLs) for two residents. One resident, admitted with multiple diagnoses including neuromuscular dysfunction and multiple sclerosis, was observed with long white facial hair and expressed a desire for help with its removal. Her records indicated she required supervision or assistance for oral hygiene and was dependent on staff for bathing. A CNA confirmed she had not offered assistance with facial hair removal, and the DON stated that staff should offer help with unwanted facial hair during showers or baths. Another resident, dependent on staff for bathing due to muscle wasting and immunodeficiency, was noted to have a foul odor emanating from his side of the room. Staff discussed not providing a shower due to concerns about covering his neck, and documentation showed that bathing was missed on four out of five opportunities. The resident's care plan indicated a preference for showers with one-person assistance, but records showed refusals were not consistently documented or signed by nursing staff. Facility policy required provision of ADL care based on assessment and resident needs, including bathing and grooming, but these services were not consistently provided or documented for the residents involved.