Failure to Provide Timely Nail Care and Scheduled Showers
Penalty
Summary
The facility failed to provide timely and adequate assistance with activities of daily living for two residents, specifically in the areas of nail care and scheduled showers. One resident, who had a contracture of the right hand and wrist and was cognitively intact, reported that the nails on the affected hand were sharp and caused discomfort by stabbing the palm. Observations confirmed that the resident's fingernails were long, pointed, and jagged, and staff acknowledged that the resident had not refused nail care. The CNA plan of care required keeping the resident's fingernails trimmed and clean, but this was not followed, as evidenced by the resident's complaints and the physical state of the nails during the survey. Another resident, also cognitively intact and requiring extensive assistance with bathing due to weakness and impaired mobility, reported not receiving scheduled showers for over a month. The resident preferred showers at night and expressed dissatisfaction with the lack of scheduled showers. Review of care records confirmed that the resident had not received showers or bed baths on multiple scheduled days. Staff interviews revealed confusion regarding the resident's assigned shower days and a lack of notification or documentation when showers were missed. The facility's policy required assistance with personal hygiene and scheduled showers according to person-centered care, but this was not consistently implemented.