Failure to Maintain Resident Hygiene and Grooming
Penalty
Summary
The facility failed to provide necessary services to maintain good personal hygiene and grooming for one resident with multiple medical conditions, including Type 2 Diabetes Mellitus, sequelae of cerebral infarction, and dysphagia. Upon admission, the resident was noted to have excessive dry skin on the face and both lower legs, and required substantial to maximal assistance with showers and baths. The resident's care plan addressed self-care performance deficits related to impaired balance and limited mobility, but did not include interventions for the excessive dry skin. Observations revealed the resident had visible dry, white/gray flakes of skin on the face and overgrown toenails. Staff interviews confirmed these findings, with a nurse acknowledging the condition was unacceptable and a CNA admitting the toenails should have been reported to the charge nurse. Further review indicated that although the resident was scheduled for a shower and had reportedly received one, the issues with dry skin and overgrown toenails persisted. The facility's policy required that residents unable to perform activities of daily living independently receive appropriate support for hygiene and grooming, but this was not consistently implemented for the resident in question. The lack of timely intervention and communication among staff contributed to the ongoing issues with the resident's personal hygiene and grooming.