Failure to Provide Nail Care for Dependent Resident
Penalty
Summary
Facility staff failed to provide necessary nail care for a resident with quadriplegia who was completely dependent on staff for all activities of daily living, including personal hygiene. The resident was assessed as having severe cognitive impairment and required total assistance with eating, hygiene, dressing, toileting, bathing, transfers, and bed mobility. The resident's care plan documented a functional deficit with ADLs and indicated dependence on staff for personal hygiene. Multiple observations over two days revealed the resident's fingernails were approximately 1 centimeter in length and remained untrimmed despite being scheduled for a bath and receiving a shower. Nursing assistants confirmed the resident's nails were long and had not been trimmed during bathing or showering, even though nail care was expected to be provided at those times. The resident verbally requested that their nails be cut, but this care was not provided as required.