Failure to Provide Scheduled Bathing and Nail Care Assistance
Penalty
Summary
A deficiency occurred when a resident who was dependent on staff for personal care did not receive scheduled bathing and nail care assistance as required. The resident, who had diagnoses including rheumatoid arthritis, osteoarthritis, difficulty walking, and diabetes, required partial to moderate assistance with bathing and set up or clean-up assistance for personal hygiene. Her care plan specified that staff should provide showers or bed baths and nail care according to her preferences. Documentation showed her last completed shower and nail care occurred on 08/23/25, with a refusal documented on 08/27/25. There was no documentation that a shower or bath was offered or provided on her next scheduled day, 08/30/25. Observations on 09/02/25 and 09/03/25 found the resident in bed with a dark substance under her fingernails. Interviews with staff confirmed the lack of documentation for the missed scheduled shower and acknowledged the resident was dependent on staff for nail care. The CNA who provided a bed bath on 09/03/25 reported cleaning the resident's dirty fingernails at that time and confirmed the resident could not perform her own nail care. The DON verified the absence of documentation for the missed scheduled shower and confirmed the resident's dependency on staff for these activities.