Failure to Provide ADL Assistance for Dependent Resident
Penalty
Summary
A deficiency was identified when a resident with cerebral palsy, who was dependent on staff for activities of daily living (ADLs), was not provided with necessary assistance for personal hygiene. Observation revealed the resident had several days of beard growth and long fingernails with brown substances underneath. The resident expressed a preference to be clean shaven but was unable to access his razor, which was found out of his reach. There was no documentation indicating that staff were providing assistance with shaving or nail care. Clinical record review showed the resident required substantial to maximum assistance for personal hygiene due to limited mobility, weakness, deconditioning, and cerebral palsy. The care plan and MDS assessment confirmed the resident's need for help with these tasks. Interviews with facility leadership confirmed the resident's inability to perform shaving or nail care independently, and acknowledged the lack of staff assistance in these areas.