Failure to Provide Assistance with Activities of Daily Living
Penalty
Summary
The facility failed to ensure that a resident who required assistance with activities of daily living (ADLs) received appropriate care to maintain personal hygiene and grooming. The resident, who was cognitively intact and required one-person assistance for hygiene according to the care plan, was repeatedly observed over several days with greasy, uncombed hair, an excessively long mustache that extended into his mouth, and wearing the same soiled clothing with food and debris. There was no documentation indicating that the resident refused or was resistant to care. Interviews with staff confirmed that the resident was cooperative with care and had not refused showers, clothing changes, or grooming. Staff also reported that the resident had been requesting a haircut, but the facility had been without a beautician for approximately six months. The Assistant Director of Nursing was unaware of the resident's unkempt appearance and soiled clothing, and acknowledged that, despite the family's wishes for the resident to be independent, it was ultimately the facility's responsibility to ensure care needs were met.