Failure to Provide Assistance with Activities of Daily Living
Penalty
Summary
The facility failed to provide adequate care and assistance with activities of daily living for a resident who was unable to perform these tasks independently. Multiple observations over several days revealed the resident in various states of poor hygiene and unkempt appearance, including tangled and messy hair, food particles in her lap and on her clothing, and stained, unclean shirts. The resident was also repeatedly observed with a thick yellowish substance around her teeth and gum line, indicating a lack of oral care. At times, her clothing was improperly positioned, such as a shirt pulled up to expose her abdomen, and her incontinent brief was visible above her pants. The resident was often seen slumped in her wheelchair or lying in bed, with little evidence of assistance provided to maintain her cleanliness or dignity. Record review indicated that the resident required moderate to maximum assistance with personal hygiene, showers, incontinent care, dressing, toileting, and transfers, as documented in her MDS assessment and care plan. The care plan specified that staff were to provide assistance with hygiene, mobility, dressing, grooming, oral care, and toileting needs. Despite these documented needs and interventions, the resident was consistently observed in a state that demonstrated a lack of appropriate care and assistance with activities of daily living.