Failure to Provide ADL Assistance for Dependent Resident
Penalty
Summary
The facility failed to provide necessary assistance with activities of daily living (ADLs) for a resident who was unable to perform these tasks independently. According to the facility's policy, residents who cannot carry out ADLs on their own are to receive services to maintain good nutrition, grooming, and personal and oral hygiene. Review of the resident's clinical record indicated diagnoses of high blood pressure, heart failure, and coronary artery disease, and the Minimum Data Set assessment documented that the resident was dependent for personal hygiene needs. Multiple observations over three consecutive days revealed that the resident remained in bed with a large amount of facial hair on the upper lip and chin, and black debris under the fingernails of both hands. These findings were confirmed by both a nurse aide and the Assistant Director of Nursing during separate interviews and observations. The Director of Nursing also confirmed that the facility did not provide the required ADL assistance for this resident.