Failure to Provide Adequate ADL Assistance and Grooming
Penalty
Summary
The facility failed to provide adequate assistance with activities of daily living (ADLs) for four dependent residents, specifically in the areas of bathing, grooming, and nail care. Observations revealed that one resident was seen with uncombed hair and heavily soiled feet, and staff were unsure when the last shower was provided. Another resident was observed with a full beard, and staff assumed that a family member had performed shaving, while the DON stated that all residents should be groomed daily. A third resident was found in bed with a full beard and long, soiled fingernails; staff believed a hospice aide was responsible for grooming, but the DON clarified that daily assigned CNAs should ensure completion of any unmet care needs. The fourth resident was observed with long, curved fingernails and reported not having received a shower, expressing a preference for nail trimming rather than cutting off nails. All four residents had documented diagnoses such as dementia, Alzheimer’s disease, quadriplegia, and other conditions requiring assistance with personal care. Their care plans indicated a need for extensive support with ADLs, including bathing, dressing, grooming, and personal hygiene. Facility policy requires routine daily care and coordination between residents and caregivers, emphasizing resident preferences. Despite these requirements, the observed lack of grooming and hygiene care demonstrated a failure to meet the established standards for ADL support for these dependent residents.