Failure to Provide Assistance with Shaving for Dependent Residents
Penalty
Summary
The facility failed to provide necessary assistance with shaving for two residents who were unable to perform this activity of daily living (ADL) independently. One resident, who had severe cognitive impairment and required substantial to maximal staff assistance with personal hygiene, was repeatedly observed with untrimmed beard and mustache growth over several days. The resident expressed a preference to be shaved at least once a week and indicated that staff did not ask if he wanted to be shaved during showers. Documentation in the resident's record did not indicate any refusal of shaving care, and shower sheets lacked consistent documentation of shaving or offers to shave, except for one instance. Another resident, who had mild cognitive impairment and required extensive assistance with ADL care due to Parkinson's disease and other medical conditions, was observed with oily, disheveled hair and extensive facial hair. The resident stated a preference for being clean-shaven and confirmed he had not been shaved. Staff interviews confirmed that shaving was expected to occur on shower days, but records did not consistently reflect that shaving was provided or offered. The facility's policy required appropriate support and assistance with hygiene, including grooming, for residents unable to perform ADLs independently.