Failure to Provide Adequate Grooming and Hygiene Assistance
Penalty
Summary
The facility failed to provide adequate grooming and hygiene services for two residents who required assistance with activities of daily living (ADLs). One resident, with diagnoses including aphasia, hypertension, and severe physical limitations, was assessed as dependent on staff for personal hygiene, grooming, and bathing. Observation revealed this resident in bed with long, dirty fingernails, and there was no documentation that staff had assisted with nail care. Another resident, who had a tracheostomy, heart failure, and upper extremity weakness, was also assessed as needing staff assistance for personal hygiene, grooming, and bathing. This resident was observed in bed with long, dirty fingernails and stated he wanted his nails trimmed but needed staff help. There was no documented evidence that staff provided the necessary nail care for either resident. The Director of Nursing confirmed that nail care was expected to be performed during routine care and as needed, but records did not show that this was done for the two residents identified.