Failure to Provide Consistent Shaving and Nail Care for Dependent Residents
Penalty
Summary
The facility failed to consistently provide shaving and nail care for two residents who required assistance with activities of daily living (ADLs). For one resident with severe cognitive impairment and unclear speech, multiple observations over several days showed the presence of facial stubble, indicating that shaving was not consistently performed. The resident’s care plan included interventions for bathing, toileting, oral care, and dressing, but lacked specific instructions or interventions for grooming or shaving. Documentation of personal hygiene care did not specify which aspects of care were provided or refused, and staff interviews confirmed that shaving was expected to be completed during morning care or bathing, but the care plan did not reflect this need. Another resident with a history of stroke and left-sided paralysis required partial to moderate assistance with personal hygiene and had a care plan instructing staff to keep fingernails short. Observations revealed long fingernails with black matter under the right hand, and the resident reported that staff did not clean their fingernails during weekly showers. Documentation showed that nail care was provided to the left hand, but there was no record of nail care for the right hand during the review period. Staff interviews confirmed that nail care was expected to be provided as needed, but this was not consistently done for the resident’s right hand.