Failure to Provide Required ADL Assistance for Dependent Residents
Penalty
Summary
Staff failed to provide necessary assistance with activities of daily living (ADLs), specifically personal hygiene and grooming, to two residents who were dependent on staff for these tasks. One resident, who required substantial assistance to stand and set-up help for personal hygiene due to limited mobility and impaired balance, was observed on multiple occasions with unshaven chin hair despite expressing a preference for a smooth chin and having a care plan directing staff to assist with shaving. Documentation indicated that shaving was provided daily, but observations and resident interviews contradicted this, revealing that assistance was not consistently given as required. Staff interviews confirmed that shaving should be provided when hair growth is observed, but staff failed to notice or offer assistance during their shifts. Another resident, who was non-weight-bearing on one arm following a fracture and was dependent on staff for all ADLs including toileting, transferring, personal hygiene, and bathing, was repeatedly observed in bed, undressed, and with facial hair. The resident reported not receiving assistance with shaving or being helped out of bed for meals, as directed in their care plan. Staff interviews confirmed that the resident required help with all ADLs and that there were no reports of care refusal. Facility policy required staff to provide necessary ADL support and to reapproach residents if care was initially resisted, but this was not followed, resulting in unmet hygiene and grooming needs for both residents.