Failure to Provide Assistance with ADLs and Personal Hygiene
Penalty
Summary
Facility staff failed to provide necessary assistance with activities of daily living (ADLs), including bathing, shaving, nail care, and grooming, for seven dependent residents. Multiple residents who required substantial or total staff assistance for personal hygiene were observed with untrimmed facial hair, long and dirty fingernails, and uncombed or matted hair. Documentation revealed that scheduled showers and personal hygiene care were frequently missed, with staff either not offering care, not documenting refusals, or leaving records blank or marked as 'Not Applicable.' Several residents reported not receiving showers or assistance with grooming as care planned, despite expressing preferences for more frequent bathing and personal hygiene. For example, one resident stated they had not been shaved or had their nails trimmed for weeks, and another reported only receiving bed baths once a week despite preferring more frequent bathing. Other residents, including those with cognitive or physical impairments, were not offered showers as scheduled, and documentation did not reflect refusals or alternative care provided. In some cases, residents were given baby wipes and told to clean themselves, contrary to their care plans requiring staff assistance. Interviews with staff, including the Director of Nursing and Resident Care Managers, confirmed that the expectation was for staff to follow care plans, offer and assist with ADLs as scheduled, and document any refusals or care provided. However, observations and record reviews demonstrated that these expectations were not consistently met, resulting in unmet care needs and poor hygiene for the affected residents.