Failure to Provide Timely ADL Care and Personal Hygiene
Penalty
Summary
The facility failed to provide adequate assistance with activities of daily living (ADL) for two residents. One resident with hemiplegia and a history of stroke required total staff assistance for self-care and preferred bed baths. The care plan specified that the resident should be shaved on shower days. However, observations on multiple occasions showed the resident with long facial hair, and the resident reported that staff did not offer to shave him. Bathing records confirmed that shaving was not documented on several bed bath days, and the Executive Director was unable to explain why shaving was not provided as required by the care plan and facility policy. Another resident with cerebral palsy and depression, who had moderately impaired cognitive ability but could communicate his needs, was observed with his call light on for an extended period. The resident was found lying in bed with his pants down, waiting to be cleaned up, and reported waiting for two hours for assistance. The assigned CNA was not aware of the resident's need for care until informed during the observation. The Executive Nurse Consultant confirmed that call lights should be answered promptly and care provided in a timely manner. These findings demonstrate a failure to provide timely and appropriate ADL care, including personal hygiene and toileting assistance.