Failure to Provide Required ADL Assistance for Dependent Resident
Penalty
Summary
A resident with diagnoses including acute respiratory failure, chronic obstructive pulmonary disease, and a disorder of the brain was found to be dependent on staff for activities of daily living (ADLs) and had an ADL self-care deficit as documented in the clinical record and care plan. Observations conducted over two consecutive days revealed that the resident remained in bed with dirty fingernails, was not dressed, and had not received necessary assistance with grooming and personal hygiene from staff. Staff interviews confirmed that the resident was dependent on staff for all ADL care, yet appropriate assistance was not provided during the observed periods. These findings were based on clinical record review, direct observation, and staff interview, demonstrating a failure by the facility to ensure that required assistance with grooming and personal hygiene was provided to a resident who was unable to perform these tasks independently.