Failure to Provide Fingernail Care for Dependent Resident
Penalty
Summary
The facility failed to provide necessary fingernail care for a resident who was unable to perform this activity independently. Observations revealed that the resident's fingernails were long, approximately 1/2 inch past the fingertips, and had a thick, dark brown substance under the nail beds. The resident reported feeling that his nails were too long and dirty and stated he had not received any nail care since his admission. Staff interviews confirmed the condition of the resident's nails and acknowledged that they required attention. The resident in question was admitted with a diagnosis of Type 2 Diabetes Mellitus and required partial/moderate assistance with self-care, as indicated by the admission MDS. Facility policy required regular assessment and care of fingernails, especially for diabetic residents, to prevent infection. The DON confirmed that the resident's nails should have been assessed at least every two weeks by an RN and trimmed as needed, but this was not done, resulting in the observed deficiency.