Failure to Provide Timely Grooming Assistance for Dependent Residents
Penalty
Summary
The facility failed to provide necessary assistance with activities of daily living (ADLs) related to grooming for three residents with significant cognitive and physical impairments. One resident with dementia, muscle weakness, and osteoarthritis was observed to have long nails and expressed a desire to have them cut, which was confirmed by the unit manager. Another resident, who was nonverbal, dependent on staff for all care, and receiving hospice services, was reported by a family member to be in need of a haircut and nail care, with delays in both being addressed despite prior notification to the facility. The unit manager confirmed the observations of long nails and hair for this resident. A third resident with parkinsonism, mobility issues, and severe cognitive impairment was observed to have facial hair and expressed a desire to be shaved, which was also confirmed by the unit manager. Clinical records and care plans for these residents indicated a need for staff assistance with grooming and hygiene tasks due to their cognitive and physical limitations. Despite these documented needs, the facility did not consistently provide timely grooming care, resulting in unmet personal hygiene needs for these residents.