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F0677
D

Failure to Provide Nail Care for Dependent Resident

Visalia, California Survey Completed on 07-09-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to provide adequate Activities of Daily Living (ADL) care for a resident who was unable to perform self-care, specifically in the area of nail care. During an observation, the resident was found in bed with both hands contracted and all ten fingernails long, thick, and yellow. The Assistant Director of Nurses confirmed the condition of the resident's fingernails. Interviews with a Registered Nurse and two Certified Nursing Assistants revealed that the resident's fingernails had consistently been in this condition, and neither CNA recalled cutting or filing the resident's nails. One CNA expressed discomfort in providing nail care due to the presence of thick, yellow, possibly fungal nails. Review of the facility's policy indicated that nail care is a covered personal service for residents.

See complete original report
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