Failure to Provide Grooming Assistance per Care Plan
Penalty
Summary
A deficiency was identified when a resident with diagnoses including atherosclerotic heart disease, dementia, and end stage renal disease, who was dependent on staff for grooming, was repeatedly observed with unshaven facial hair over several days. The resident stated that assistance was needed with shaving due to inability to perform the task independently. The resident's care plan, initiated months prior, documented limited ability to maintain grooming and specified that staff should provide assistance or full performance for facial hair care. Despite this care plan, a Geriatric Nursing Assistant (GNA) was unaware of the resident's need for shaving assistance and believed the resident was independent, only providing help upon request. This lack of awareness was traced to a failure to transfer the care plan intervention to the resident's profile, resulting in staff not being informed of the resident's grooming needs. The deficiency was confirmed through interviews and record review, as well as direct observation of the resident's unshaven condition.