Failure to Provide Scheduled Showers and Nail Care for Dependent Residents
Penalty
Summary
The facility failed to ensure that activities of daily living (ADLs) were completed for dependent residents, specifically regarding twice weekly showers and nail care. One resident, who was cognitively intact and dependent on staff for bathing and other ADLs due to conditions including heart failure, chronic kidney disease, and a stage 3 pressure ulcer, reported not always receiving scheduled showers. Record review confirmed missed showers on multiple scheduled dates, and the Director of Nursing was unable to provide documentation for these missed showers. Facility policy required showers to be provided per schedule or resident request, but this was not consistently followed. Another resident, also cognitively intact and dependent on staff for personal hygiene due to diagnoses including edema and type 2 diabetes mellitus, reported that her toenails had not been cut despite requests. Observation confirmed long toenails, and record review showed no documentation of nail care being performed during the review period, despite care plan interventions specifying nail care on bath days and as needed. The Director of Nursing had no additional information regarding the lack of nail care documentation.