Failure to Provide Required ADL Assistance and Personal Hygiene
Penalty
Summary
The facility failed to provide necessary assistance with activities of daily living (ADLs) for residents who were unable to perform these tasks independently, resulting in deficiencies in grooming and personal hygiene. One resident with impaired mobility due to Muscular Dystrophy, who was dependent on staff for all ADLs, was observed with unkempt hair, dried sputum, and long facial hair. Staff interviews confirmed that the resident's grooming needs, including shaving and face washing, had not been met as required by facility policy. Two additional residents, both dependent on staff for bathing and personal hygiene, did not receive daily bed baths as specified in their care plans and facility policy. Documentation and staff interviews revealed that these residents missed multiple scheduled bed baths over a period of days. Observations noted foul odors in their rooms, and one resident reported only receiving bed baths upon request, with significant gaps between baths. Review of facility records, care plans, and staff schedules confirmed that the required ADL care, including daily bed baths and grooming, was not consistently provided. Staff acknowledged the missed care and, in one instance, admitted to documenting a bed bath that was not actually performed. The deficiencies were corroborated by direct observation, resident interviews, and review of care documentation.