Failure to Provide Grooming Assistance for Residents Unable to Perform ADLs
Penalty
Summary
The facility failed to provide necessary assistance with activities of daily living (ADLs) related to grooming for two residents who were unable to perform these tasks themselves. Observations over several days showed that one resident had multiple long chin hairs that remained untrimmed, despite a care plan indicating staff were responsible for meeting all ADLs. The care plan did not specifically address facial hair for this resident. The resident's diagnoses included macular degeneration, osteoporosis, and weakness, indicating a need for staff assistance with personal grooming. A second resident was observed with a full beard and mustache that were not shaved over multiple days. This resident's care plan included a preference to not be shaved daily, but during an interview, the resident was unaware of her grooming schedule and indicated she was overdue for shaving. She also expressed a refusal to be shaved with a regular razor, preferring an electric razor, which she could not locate. Staff interviews confirmed that residents should be shaved on shower days or as needed, and that women should not have visible facial hair. The facility's policy required staff to maintain good grooming and hygiene for residents unable to perform ADLs.