Failure to Provide Grooming Assistance as Required by Care Plan
Penalty
Summary
A deficiency was identified when staff failed to provide necessary assistance with grooming for a resident who required help with activities of daily living (ADLs). The resident, who had diagnoses including epilepsy, dementia, and cognitive communication deficit, was assessed as having moderately impaired cognition and required staff assistance for all ADLs. The care plan specifically included an intervention, at the family's request, for the resident to be kept clean shaven. Despite this, the resident was observed with significant facial hair and in need of a shave during a surveyor's visit. Review of the medical record and CNA documentation showed that personal hygiene tasks, including shaving, were marked as completed multiple times on the days in question. However, direct observation contradicted these records, as the resident's facial grooming had not been performed according to the care plan. The unit manager confirmed that staff were expected to shave the resident during morning care, but no further explanation or documentation was provided regarding the discrepancy between the documentation and the resident's observed condition.