Failure to Provide Required ADL Assistance to Dependent Residents
Penalty
Summary
The facility failed to provide necessary assistance with activities of daily living (ADLs) for three residents who were dependent on staff for personal hygiene and mobility. For one resident with right-sided weakness, observations over several days showed they remained in bed with long fingernails containing black debris, despite care plans indicating staff should assist with personal hygiene and provide nail care weekly and as needed. Staff interviews confirmed that expected ADL assistance, including nail care, was not provided as required. Another resident with bilateral arm weakness required staff assistance for personal hygiene, including bathing, oral care, and shaving. Observations revealed the resident had long facial hair, and staff interviews indicated that shaving was not performed or documented as expected. A third resident, dependent on two staff for hygiene, bathing, transfers, and positioning, was observed lying in bed on multiple occasions, with no documentation of being offered showers or assistance to get out of bed, despite care plans and family preferences for daily mobility and showers. Staff interviews confirmed that bed baths were offered instead of showers and that there was no place in the records to document these activities.