Failure to Provide Timely ADL Assistance for Dependent Resident
Penalty
Summary
A deficiency occurred when a resident, who was cognitively intact but dependent on staff for activities of daily living (ADLs) such as toilet transfers and bed mobility, did not receive timely assistance with personal hygiene. The resident, admitted with multiple injuries and significant mobility impairments, reported that her briefs had not been changed since the previous night and requested assistance by activating her call light. An LPN responded to the call light, turned it off, and left the room without providing care, stating later that she notified a CNA to assist the resident. However, subsequent interviews revealed that the CNA was not informed of the resident's need, and the call light was not left on to indicate ongoing need for assistance. Further investigation showed that neither of the CNAs on duty were aware of the resident's request for help, resulting in the resident remaining in soiled briefs for an extended period. The resident later confirmed that she had a bowel movement and expressed distress about being left in that condition. The facility's policy required staff to provide necessary ADL care based on the resident's needs and assessments, but this was not followed, leading to a failure to maintain the resident's hygiene and comfort.