Failure to Provide Toenail Care and Podiatry Referral for Dependent Resident
Penalty
Summary
The facility failed to ensure that a dependent resident received appropriate toenail care as part of assistance with activities of daily living. The resident, who had a history of stroke with hemiplegia and hemiparesis and was documented on a comprehensive MDS assessment as dependent on staff for ADLs, was observed on two occasions to have thick, brittle toenails that were whitish to yellowish and brownish in color, which the ADON described as possibly indicating a fungal infection. A podiatrist visits the facility every three months and had last been at the facility on 11/6/25, but the resident had not been seen by the podiatrist and had not been referred for podiatry services. When questioned, the ADON could not explain why the resident had not been referred and acknowledged that the resident should have been referred to the podiatrist. This failure to provide toenail care services for a resident dependent on staff for ADLs resulted in a deficiency related to nail care and placed the resident at risk of embarrassment that could affect her socially due to the appearance of her toenails, as stated in the report.
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