Failure to Provide Scheduled ADL Assistance for Two Residents
Penalty
Summary
The facility failed to provide necessary assistance with activities of daily living (ADLs) to two residents who required help to maintain personal hygiene. For one resident with chronic medical conditions and a need for personal care assistance, observations revealed unshaven facial hair, greasy hair, and mild body odor. The resident reported missing a scheduled bath, stating he had not received a bath for four days and that this was not the first time his scheduled bath was missed. Staff interviews confirmed the resident's account, with both an LPN and a CNA supervisor acknowledging the missed care and the resident's cognitive ability to accurately report his care. Another resident, also cognitively intact and with a diagnosis of polyneuropathy, reported not receiving her scheduled night-time bath, which she preferred for privacy reasons. Staff interviews corroborated that the resident typically received baths on specific nights, but there was no documentation of a bath being provided or refused during the relevant period. The DON confirmed the resident did not receive her scheduled bath and was unaware of any reason for the omission. The facility's policy requires that residents unable to perform ADLs independently receive necessary services to maintain hygiene, which was not met in these cases.