Failure to Provide Timely ADL Assistance to Multiple Residents
Penalty
Summary
The facility failed to provide necessary assistance with activities of daily living (ADLs) for three out of five residents reviewed. One resident with a history of diabetes, muscle wasting, and bilateral leg amputations, and a BIMS score of 00, reported that aides did not help her and that she required a mechanical lift for transfers. She stated she often waited 1-2 hours for assistance, including after episodes of incontinence. Another resident with diabetes, peripheral vascular disease, and an above-the-knee amputation, and a BIMS score of 12, reported that call lights were not answered in a timely manner and that she had to wait 2-3 hours in a soiled brief before receiving incontinence care. A third resident, diagnosed with COPD, osteomyelitis, and muscle weakness, and a BIMS score of 14, stated that there were never enough staff and that she was left in soiled clothing for five hours despite repeatedly asking for help. The Director of Nursing confirmed that the facility failed to provide adequate ADL assistance to these residents.