Failure to Address Resident's Facial Hair and Hygiene Needs
Penalty
Summary
A resident with a history of stroke, diabetes, impaired cognition with communication deficit, and dementia was dependent on nursing staff for all hygiene care and unable to perform these tasks independently. The resident's care plan acknowledged the right to dignity but did not address the management of facial hair by nursing staff. Multiple observations over several days documented the resident sitting in the dining room with facial hair greater than one inch on the upper lip, around the mouth, chin, and extending down the neck. On one occasion, dried food from a previous meal was noted on the outside of the resident's mouth and facial hair. During interviews, the resident expressed a desire to have the facial hair removed, stating that it was bothersome. A CNA reported being unaware of the unwanted facial hair and indicated that shaving should occur during showers or as needed. The DON confirmed that residents who do not wish to have unwanted facial hair can be shaved by nursing staff on shower days and as needed. The lack of attention to the resident's facial hair and hygiene needs, as well as the omission in the care plan, resulted in a failure to honor the resident's right to dignity and self-determination.