Failure to Provide ADL Assistance for Dependent Residents
Penalty
Summary
The facility failed to provide necessary assistance with activities of daily living (ADLs) for two residents who were dependent on staff for personal hygiene. One resident, who was totally dependent on two staff members for showers, had not received a shower or shaving assistance since admission. Observations revealed the resident's hair was uncombed and oily, and he had several days' growth of facial hair. Documentation showed that showers were scheduled for specific days, but there was no evidence that these were provided as required, and the first documented shower occurred only after the surveyor's observation. Another resident, assessed as requiring partial to moderate assistance for personal hygiene and having severe cognitive impairment, was observed with significant facial hair and stated he needed to shave. Although the resident was shaved the following day, the shave was incomplete, leaving whiskers in several areas. Both cases were reviewed with facility leadership, confirming the lack of adequate ADL assistance for these dependent residents.