Failure to Provide Timely ADL Assistance and Shaving for Dependent Residents
Penalty
Summary
The facility failed to provide timely and adequate assistance with activities of daily living (ADL) for several dependent residents, specifically in the areas of shaving and toileting. One resident, who preferred to maintain a goatee, was not assisted with shaving the rest of his face for over a week, despite his care plan specifying shaving on shower days and as needed. He reported that only one care assistant occasionally helped him, but often did not have time. Another resident, who required partial assistance with personal hygiene, was not shaved for over two weeks despite repeated requests, and only received assistance after persistent asking. His roommate confirmed that he had not been shaved since admission, despite being able to make his needs known and having a care plan that included shaving on shower days or as requested. Two other residents experienced significant delays in receiving toileting assistance, resulting in episodes of incontinence. One resident, who was usually continent but required substantial assistance due to mobility limitations, reported waiting up to 45 minutes for help after activating her call light, leading to incontinent accidents in bed. She described feeling anxious and embarrassed as a result. Another resident, also cognitively intact and dependent on staff for toileting, reported that her call light was not answered promptly, causing her to be incontinent and remain in a wet bed, which she found embarrassing and unnecessary. Staff interviews corroborated these findings, with a Certified Resident Care Assistant stating she was unable to complete bathing and ADL needs for residents on her assigned hall. The administrator confirmed that nursing staff were responsible for ensuring residents were shaved. The deficiencies were identified through observation, resident and staff interviews, and record review, and were associated with multiple complaints.