Failure to Provide Nail Care to Dependent Resident
Penalty
Summary
A deficiency was identified when a resident who was dependent for self-care was not provided with appropriate nail care. The resident, who was cognitively intact and had diagnoses including hemiplegia, hemiparesis, aphasia, and type 2 diabetes with complications, was observed to have long fingernails with brown-colored material underneath. The resident reported needing assistance with nail trimming but had not received it, and expressed concerns about overall care due to apparent short staffing. Staff interviews revealed that the expectation was for nail care to be assessed and provided during showers, and that the Geriatric Nursing Assistant responsible for the resident's recent shower should have checked and addressed the fingernails at that time. The deficiency was confirmed through direct observation and staff acknowledgment that the required care had not been provided as expected.