Failure to Provide Necessary Assistance with Personal Hygiene and Grooming
Penalty
Summary
A deficiency was identified when a resident with severe cognitive impairment, dementia, cerebral infarction, and seizure disorder did not receive necessary assistance with personal hygiene, specifically shaving. The resident required partial to moderate assistance with personal hygiene and had no documented refusals of care. Despite facility policies requiring support for activities of daily living and maintaining dignity, the resident was observed on multiple occasions to have facial hair longer than ¼ inch and appeared unkempt. Documentation showed the resident received showers, but there was no indication that shaving was performed, nor was there evidence of refusal. Interviews with staff revealed that shaving was expected to occur on shower days or as needed, and that maintaining grooming was important for dignity. Multiple staff members acknowledged that the resident should have been shaved during their scheduled shower, but this was not done. The assigned CNA admitted to forgetting to shave the resident, and other staff confirmed that shaving was part of the grooming routine. The lack of documentation and follow-through resulted in the resident not receiving the necessary services to maintain personal hygiene and grooming, as required by facility policy and state regulation.