Failure to Provide Timely Incontinence and Nail Care for Dependent Residents
Penalty
Summary
Staff failed to provide timely incontinence care and nail care for two residents who required assistance with activities of daily living (ADLs). One resident with multiple sclerosis and glaucoma, who was always incontinent and dependent on staff for incontinence care, did not receive toileting or incontinence care on a specific day. The resident reported asking to be changed multiple times but was left in her wheelchair for 16 hours without care. Staff interviews confirmed that incontinence care was not provided due to short staffing and a facility event occurring that day. Facility policy required staff to provide incontinence care to dependent residents to maintain hygiene standards. Another resident with hypothyroidism, epilepsy, and post-traumatic stress disorder, who required moderate staff assistance with bathing and grooming, was observed to have long, dirty fingernails and toenails throughout the day. The resident confirmed that aides did not trim or clean her nails, and a CNA acknowledged that nail care should have been provided on bath day. Facility policy indicated that routine daily care should include assistance with bathing and grooming, including nail care.