Failure to Provide ADL Assistance to Dependent Residents
Penalty
Summary
The facility failed to provide necessary assistance with activities of daily living (ADLs) to residents who were dependent on staff for personal hygiene. One male resident with severe cognitive impairment was observed with an unkempt and dirty beard, discolored facial hair around his mouth, food debris in his beard, and long, dirty fingernails. His Minimum Data Set (MDS) indicated a need for substantial to maximal assistance with personal hygiene, and his care plan documented the requirement for staff assistance with ADLs. Another male resident, who was cognitively intact but unable to walk, was observed with long facial hair and reported that he had repeatedly requested assistance with shaving during his two-month stay, but his requests were ignored. His MDS documented a need for partial to moderate assistance with personal hygiene, and his care plan also indicated the need for staff support with ADLs. The Director of Nursing confirmed that CNAs are responsible for providing hygiene care to residents requiring assistance. The facility's ADL guidelines require a care-planned and implemented program of assistance and instruction in ADL skills.