Failure to Assist Dependent Residents with ADLs: Nail Care, Shaving, and Feeding
Penalty
Summary
The facility failed to provide necessary assistance with activities of daily living for four residents who were dependent on staff for personal hygiene, eating, and grooming. Observations revealed that two residents had long, jagged, and dirty fingernails, with no documentation of refusal of nail care in their care plans. Both residents were noted to have cognitive impairments and required staff assistance for personal hygiene, yet their fingernails remained untrimmed and unclean over consecutive days. The Assistant Director of Nursing confirmed the condition of the residents' fingernails and acknowledged that CNAs are responsible for providing this care. Another resident, who required extensive assistance for bathing and showering, was observed with facial hair stubble and reported not being offered shaving services since admission, despite expressing a preference to be clean-shaven. The resident's care plan indicated a need for staff assistance, and facility policy required shaving on shower days, but records showed the resident was not shaved during a recent shower. Additionally, a resident who was dependent on staff for eating was left unattended with an untouched meal tray for an extended period, with staff confirming that assistance had not been provided until much later. Facility policies for nail care, shaving, and feeding dependent residents were not followed as observed in these cases.