Failure to Assist Dependent Resident with Facial Hair Removal
Penalty
Summary
Nursing staff failed to provide necessary assistance with activities of daily living (ADLs) for a resident who required substantial to maximal help with self-care. The resident, who had a history of multiple fractures, malignant neoplasm, and a contracture of the right hand, was observed on multiple occasions over several days with facial hair on the upper lip, chin, and neck. The resident reported normally not having facial hair and expressed a desire for its removal but was unable to perform this task independently and required staff assistance. Facility policy required that residents unable to perform ADLs receive the necessary services to maintain grooming and personal hygiene. Documentation indicated the resident needed significant help with personal hygiene, including shaving. There was no evidence in the nursing progress notes that the resident refused care, and staff interviews confirmed that shaving should be provided during routine care with refusals documented. However, the resident continued to have facial hair present, indicating that assistance with shaving was not provided as required.