Failure to Provide Nail Care and Personal Hygiene Assistance
Penalty
Summary
The facility failed to provide necessary assistance with activities of daily living (ADLs) for a resident who was unable to perform these tasks independently. Specifically, on 04/16/2025, a male resident with a history of myocardial infarction, contractures of the left hand and shoulder, and hemiplegia/hemiparesis was observed to have fingernails approximately 0.5 inches in length with a dark substance underneath. The resident, who was cognitively intact but dependent on staff for showering, bathing, and toileting hygiene, stated that his nails were too long and that he did not like it. Interviews with staff revealed that certified nursing assistants (CNAs) and nurses were responsible for nail care, with the exception that only nurses could provide nail care for residents with diabetes. Staff acknowledged that the resident's nails were long, dirty, and needed to be trimmed and cleaned, and recognized the risk of infection associated with this deficiency. Review of the facility's policy confirmed that nail care procedures were in place, but these were not followed for this resident.