Failure to Provide Timely ADL Care to Dependent Resident
Penalty
Summary
Facility staff failed to provide necessary Activities of Daily Living (ADL) care to a dependent resident who was admitted with multiple diagnoses, including Parkinson's disease, muscle atrophy, diabetes type 2, hypertension, and anemia. The resident was cognitively intact and able to communicate her needs. Despite being totally dependent on staff for ADL care, the resident was found to be soiled in urine and feces from 10:00 A.M. until 1:40 P.M., with her bed and clothing saturated and stained. The room and unit had a pervasive odor of urine and feces, and the resident reported that this situation occurred frequently due to insufficient staffing. Review of facility documentation indicated that the resident was supposed to receive a bath every morning and was dependent on staff for all ADL care. However, during the survey, the resident was observed to remain in a soiled bed with soiled linens for several hours and was not seen out of bed during daytime hours. Interviews with the resident and review of care records confirmed that hygiene and bathing were not provided in a timely manner or as often as needed. Facility leadership was made aware of these concerns during the survey.