Failure to Provide Adequate Nail Care for Dependent Residents
Penalty
Summary
The facility failed to provide adequate assistance with personal hygiene for two residents who were dependent on staff for activities of daily living, specifically nail care. One resident was observed with long fingernails extending past the fingertips and had scratches on the face and body, with staff confirming that the resident scratches himself when anxious. This resident was documented as fully dependent on staff for personal hygiene. Another resident was observed on multiple occasions with very long nails and black debris underneath, and staff indicated that nail care is only performed on shower days, with nurses responsible for nail care for diabetic residents. The care plan for this resident indicated a memory impairment and a need for extensive staff assistance with ADLs. When requested, the facility was unable to provide a policy on nail care.