Failure to Provide ADL Assistance for Dependent Resident
Penalty
Summary
A deficiency was identified regarding the facility's failure to provide necessary assistance with activities of daily living (ADLs) for a dependent resident. Record review revealed that the resident, who was documented as totally dependent for feeding, did not have appropriate documentation of feeding assistance for multiple meals over an extended period. Specifically, from mid-July through early September, there were numerous instances where meals were not documented as dependent, despite the resident's need for assistance. During this time, the resident experienced a weight loss of 26.2 pounds from admission through early September. The Director of Nursing (DON) confirmed that the resident was dependent for meals and that the required assistance was not documented for the identified meals. Additionally, the same resident was found to be totally dependent for showers and baths. The records indicated that the resident did not receive a shower or bed bath for two separate periods: one lasting ten days and another lasting seven days. The DON confirmed that on these occasions, the resident did not receive the necessary hygiene care. These findings were based on record reviews and staff interviews conducted during the survey process.