Failure to Provide Necessary ADL Assistance for Personal Hygiene and Grooming
Penalty
Summary
The facility failed to provide necessary assistance with activities of daily living (ADLs) to two residents who were unable to perform these tasks independently. One resident, admitted with cerebral infarction resulting in hemiplegia and hemiparesis, chronic obstructive pulmonary disease, and congestive heart failure, was assessed as having no cognitive impairment and requiring partial to moderate assistance with personal hygiene. Despite being care planned for assistance with all ADLs, repeated observations over several days showed the resident had long facial hair on her chin. Staff confirmed the resident was dependent on staff for ADL care and that she allowed staff to shave her, but her face was not groomed as needed. Another resident, admitted with multiple chronic conditions including diabetes, heart disease, and limited range of motion in one upper extremity, was also assessed as cognitively intact but requiring assistance with ADLs, including nail care. Observations revealed this resident had long fingernails and was unable to trim them independently due to her physical limitations. The resident reported requesting assistance from staff, and staff interviews confirmed that nail care was the responsibility of the nursing staff due to the resident's diabetes. However, the resident's fingernails remained untrimmed during the survey period.