Failure to Maintain Resident Grooming and Personal Hygiene
Penalty
Summary
The facility failed to provide necessary services to maintain good grooming and personal hygiene for two residents who were dependent on staff for activities of daily living (ADLs). Both residents had severe cognitive impairment and required assistance with personal hygiene, as documented in their care plans. Despite these documented needs, observations revealed that both residents had long and dirty fingernails. Treatment Nurse 1 and the Director of Nursing confirmed during interviews and observations that the fingernails were not properly trimmed or cleaned. Further review showed that the facility's policy required staff to assist dependent residents with ADLs, including grooming, every shift and as needed. However, a Licensed Vocational Nurse stated that while she reminded CNAs weekly to trim and clean residents' fingernails, she did not verify that this care was actually provided. This lack of direct oversight and follow-through resulted in the residents not receiving appropriate nail care, as required by their care plans and facility policy.