Failure to Assist Dependent Residents with Activities of Daily Living
Penalty
Summary
The facility failed to provide necessary assistance with activities of daily living (ADLs) for several dependent residents, as evidenced by record reviews, observations, and staff interviews. One resident, admitted with epilepsy and cognitive deficits, was care planned to require total assistance with eating and was at risk for malnutrition. Despite this, his meal trays were delivered and left untouched in his room on multiple occasions, with staff confirming that no assistance was provided during mealtimes. Another resident, with a history of seizures and repeated falls, was scheduled for showers twice weekly but documentation showed that he missed nine out of twelve scheduled showers in a month, with no evidence of refusal or completed care. Observations revealed the resident appeared unkempt, with dirty nails and dried food on his clothing, and he reported not receiving showers as scheduled. Staff interviews confirmed the lack of documentation and completion of required bathing care. Additional residents with significant cognitive and physical deficits were also not assisted as required. One resident received only two documented showers in a month despite requiring extensive assistance, and was repeatedly observed with long, dirty fingernails and unchanged clothing. Another resident, totally dependent for ADLs, had no documentation of bathing care, and staff could not confirm when or if care was provided. Facility policy required documentation of bathing and skin observation at least twice weekly, which was not followed for these residents.