Failure to Provide Oral Hygiene for Dependent Resident
Penalty
Summary
A deficiency was identified when a resident with severe cognitive impairment, upper extremity contractures, and visual impairment, who was fully dependent on staff for oral hygiene, did not receive adequate oral care. Record review showed the resident had poor oral hygiene documented by a dental visit, with heavy plaque and calculus buildup and red tissue. The care plan indicated the resident required total assistance with activities of daily living, including oral hygiene. Multiple observations over three consecutive days revealed a persistent white buildup of debris on the resident's upper front teeth and gums, indicating oral care was not being provided as required. Interviews with staff and the responsible party confirmed that oral hygiene was not routinely performed for the resident. The responsible party reported that family members often found the resident's teeth unclean and provided oral care themselves. Nurse aides acknowledged not offering or providing oral hygiene care, and the DON confirmed that oral hygiene should be performed at least daily. The buildup was only removed after a nurse aide brushed the resident's teeth during an observed visit, further confirming the lack of routine oral care.