Failure to Provide Adequate Grooming and Dressing Assistance
Penalty
Summary
A deficiency was identified when a resident, who was dependent on staff for upper and lower body dressing due to hemiplegia following a stroke and depression, was observed to have inadequate grooming. The resident was seen wearing the same t-shirt from the previous night into the following day, and the shirt still had hair clippings from a haircut received the day before. The resident confirmed that his shirt had not been changed the previous night. Staff interviews revealed uncertainty about whether the resident had been changed into a gown or if he had refused, with staff acknowledging that sometimes the day shift or night shift would change the resident, but there was no clear documentation or recollection of the shirt being changed after the haircut. The facility's policy required staff to provide care and assistance with activities of daily living (ADLs), including dressing and grooming, for residents unable to perform these tasks independently. Despite this, the resident did not receive adequate assistance with changing clothes and removing hair clippings after a haircut, resulting in diminished grooming. The observations, interviews, and record review confirmed that the necessary support for maintaining personal hygiene and grooming was not consistently provided as required by facility policy.