Failure to Provide Necessary Grooming and Hygiene Assistance
Penalty
Summary
The facility failed to provide necessary assistance with activities of daily living (ADLs) for a resident who was unable to perform these tasks independently. Specifically, a resident with diagnoses including spondylosis, scoliosis, and type 2 diabetes, and who was assessed to have intact cognition, was observed on multiple occasions to have an unshaved face and fingernails that extended past the nail beds. The resident confirmed that he had not been shaved recently and that his fingernails had not been trimmed, expressing a desire for both services to be provided. Staff interviews corroborated these findings, with a CNA confirming the resident had not been shaved and should have been, and both the Assistant Director of Nursing and the Director of Nursing acknowledging that nail care and shaving should have been provided but were not. The deficiency was identified through direct observation, record review, and resident and staff interviews, demonstrating a failure to maintain the resident's grooming and personal hygiene as required.