Failure to Provide Adequate Personal Hygiene and Grooming Assistance
Penalty
Summary
Two residents were found to have not received adequate assistance with activities of daily living, specifically in the areas of personal hygiene and grooming. One resident, a male with diagnoses including schizophrenia, anxiety, mobility and vision impairments, and a documented need for substantial to maximal assistance with toileting and hygiene, was observed in bed with an exposed soiled brief and gnats present. His care plan required regular incontinence checks and hygiene care, but these were not provided as needed at the time of observation. Another male resident, with cognitive and behavioral diagnoses such as dementia, major depressive disorder, and psychotic disorder, also required substantial to maximal assistance for bathing. He was observed in bed wearing only briefs, with heavily soiled lower extremities and a used meal tray on the bed, also attracting gnats. His care plan specified twice-weekly bathing, but the observed condition indicated this was not being followed. These findings were based on direct observation and review of clinical records, in violation of the facility's own policies and state regulations.