Failure to Provide Necessary ADL Assistance and Hygiene Care
Penalty
Summary
The facility failed to provide necessary assistance with activities of daily living (ADLs) for three residents who were unable to perform these tasks independently. One male resident with Alzheimer's disease and cerebral infarction, who was on hospice care, was observed to have long, jagged fingernails with brown debris underneath. His care plan indicated a need for supervision or assistance with personal hygiene, but staff were unaware of their responsibility to provide this care. A female resident with type 2 diabetes, morbid obesity, and a history of stroke was dependent on staff for personal hygiene. Documentation showed that she did not consistently receive scheduled baths, with five missed or undocumented baths in one month. She also reported that her nails were not trimmed as requested, and staff were not aware of the need to provide this care. Another female resident with dementia and psychotic disturbance was also dependent on staff for personal hygiene. She was observed wearing the same stained clothing for three consecutive days and had long, dirty, jagged fingernails. Bathing records indicated that eight scheduled baths were not documented as given in one month. Staff interviews confirmed a lack of training and awareness regarding the importance of regular hygiene, nail care, and clothing changes for residents who are unable to care for themselves.