Failure to Provide Timely Nail and Facial Hair Care for Residents
Penalty
Summary
The facility failed to provide adequate assistance with activities of daily living (ADLs) for two residents, specifically in the areas of nail care and facial hair grooming. For one resident with heart failure and moderate cognitive impairment, observations revealed long nails with a black substance underneath, and the resident expressed a desire to have them trimmed. Review of bathing sheets showed multiple instances where nail care was not documented as provided, despite the care plan specifying that nail care should occur on bath days and as needed. The Assistant Director of Nursing confirmed that nail care should have been provided on those days. Another resident, diagnosed with Parkinson's disease and a history of fractures, also with moderate cognitive impairment, was observed with long, unkempt facial hair. The resident reported having requested to be shaved for several weeks without the request being fulfilled. Documentation indicated the last shave occurred several days prior to the observation, and the resident confirmed that shaving was only recently provided after repeated requests. Facility policies require that residents be cared for in a manner that promotes dignity and includes regular shaving as part of personal hygiene.