Failure to Provide Scheduled Bathing and Nail Care
Penalty
Summary
A resident with diagnoses including aphasia and cerebral infarction was admitted and readmitted to the facility, and was described as rarely or never understood, bed bound, incontinent, and unable to make her needs known. The resident required staff assistance for all activities of daily living, including bathing and personal hygiene, and was scheduled to receive showers on Sundays and Wednesdays. Observations revealed that the resident's fingernails and toenails were excessively long, her hair was matted, and she had an unpleasant odor. Review of facility records showed that the resident did not receive a shower or bed bath on her scheduled days, and there was no documentation of completed nail care. Additionally, there was no evidence that a podiatry consult had been requested to address the long toenails. Facility policy required that residents unable to perform activities of daily living receive necessary services to maintain grooming and hygiene, but these services were not provided as scheduled for this resident.