Failure to Provide Oral Care Supplies and Assistance
Penalty
Summary
The facility failed to ensure that residents had access to oral care supplies, such as toothbrushes, toothpaste, and mouthwash, and did not consistently provide oral care assistance as required by their care plans. Observations and interviews revealed that several residents did not have these supplies in their rooms and reported that staff did not offer to assist with oral hygiene. Specifically, three residents stated they had not received oral care supplies since admission and that staff had not offered to help with oral care, despite their expressed desire for assistance. Review of the residents' medical records and care plans showed that some required setup or clean-up assistance, while others needed substantial or maximal assistance with oral hygiene due to physical or cognitive limitations. For example, one resident with muscle weakness and chronic kidney disease required setup assistance, while another with end-stage renal disease and diabetes needed substantial help. Despite these documented needs, staff interviews confirmed that oral care was not consistently offered, and supplies were not available in the residents' rooms. Staff members, including CNAs, a Certified Medication Technician, and an LPN, acknowledged during interviews that oral care should be part of the daily routine for all residents. The DON also confirmed the expectation that each resident should have oral care supplies and receive assistance as needed. However, direct observations and resident interviews demonstrated that these expectations were not being met, resulting in a deficiency related to the provision of oral hygiene care.