Failure to Provide Required Assistance with Activities of Daily Living
Penalty
Summary
The facility failed to provide necessary assistance with Activities of Daily Living (ADLs) for three residents who required varying levels of support. One resident with severe cognitive impairment and multiple medical conditions, including diabetes and cerebrovascular attack, was found lying in bed with feet encrusted in a yellow substance and a dirty mattress, indicating a lack of proper hygiene care. Staff confirmed the resident's condition and the failure to maintain cleanliness. Another resident, who was cognitively intact but required supervision or assistance for bathing, did not receive the required twice-weekly bathing as documented, with staff confirming the missed care opportunities. A third resident, admitted with multiple diagnoses such as atrial fibrillation, diabetes, and cancer, required moderate assistance with bathing but reported having to perform showers independently after regaining some strength through therapy. Initially, this resident received no regular bathing, and both the resident and a family member expressed uncertainty and concern about the bathing schedule and lack of assistance when the resident was too weak to bathe independently. Documentation revealed several periods where the resident was not scheduled for any showers, further confirming the deficiency in providing necessary ADL support.