Failure to Provide Scheduled ADL Assistance and Personal Hygiene
Penalty
Summary
The facility failed to provide appropriate Activities of Daily Living (ADL) assistance, specifically related to showering and personal hygiene, for two residents. One resident with dementia, visual impairment, and other significant medical conditions was observed to have excessive facial hair and dirty fingernails, despite care plans indicating a need for maximal assistance with personal hygiene. The resident reported receiving a shower and nail care the previous night, but observations showed ongoing issues with hygiene. The Director of Nursing confirmed that residents should have clean faces and nails. Another resident with Parkinson's disease and limited mobility, who required partial assistance with ADLs, did not receive showers according to the facility's established schedule. Documentation showed missed showers on several scheduled days, with bed baths provided instead. Both the resident and his wife reported infrequent showers and a lack of daily oral care, with no toothbrush or toothpaste found in the resident's bathroom. The Director of Nursing acknowledged that the shower schedule and daily oral care should be followed.