Failure to Provide Necessary ADL Assistance for Grooming and Hygiene
Penalty
Summary
A deficiency was identified when a resident with severe cognitive impairment and physical limitations did not receive necessary assistance with activities of daily living (ADLs), specifically grooming and personal hygiene. Observations revealed the resident had long, visible facial hair on her chin and upper lip, as well as long, jagged toenails. The resident expressed a desire for assistance with hair removal and toenail trimming, stating that staff had not provided this help and that she was unable to perform these tasks herself due to her health challenges. Interviews with staff confirmed that grooming tasks, including facial hair removal, are the responsibility of CNAs during daily ADL care, and toenail trimming is assigned to LPNs. Staff members were not aware of the resident refusing care, and both the DON and LPN confirmed that these services should have been provided. The facility's policy requires staff to encourage resident participation in ADLs and provide assistance as necessary, but this was not followed for the resident in question.