Failure to Provide Required ADL Assistance and Personal Hygiene
Penalty
Summary
A deficiency was identified when a resident who was dependent on staff for activities of daily living (ADLs), including personal hygiene and bathing, did not receive the necessary care as required by facility policy. The resident, admitted with a displaced intertrochanteric fracture of the left femur, gait and mobility abnormalities, and generalized muscle weakness, was assessed as cognitively intact but required substantial to maximal assistance with toileting, personal hygiene, and showers. Despite these needs, the resident's care plan did not address self-care deficits related to personal hygiene and bathing. Review of documentation revealed that the resident received personal hygiene on only a few occasions at the end of May and a single shower in June, with no further documentation of personal hygiene provided for the month of June. Staff interviews confirmed that the records did not show the resident received personal hygiene or baths/showers as needed. The administrator also acknowledged, upon review, that the resident did not receive the required care.