Failure to Provide Assistance with Shaving for Dependent Resident
Penalty
Summary
A deficiency was identified when a resident with early onset cerebellar ataxia, physical debility, and vascular dementia, who was cognitively intact but required supervision or assistance with personal hygiene, did not receive adequate help with shaving. The resident's care plan indicated a self-care deficit and required supervision with personal hygiene. CNA documentation over the past 30 days showed the resident was frequently marked as dependent or needing substantial assistance with personal hygiene tasks. Multiple observations over several days revealed the resident had an unkempt beard and mustache, with the mustache covering the top lip and, at times, containing food remnants. Interviews with the resident's responsible party and a CNA confirmed the resident was unable to shave himself and preferred aides to assist. Despite this, the resident's facial hair remained untrimmed and unclean, indicating a failure to provide necessary assistance with grooming as required by the facility's policy on supporting activities of daily living.