Failure to Assist Dependent Resident With Facial Hair Grooming
Penalty
Summary
The facility failed to provide adequate assistance with activities of daily living (ADLs) by not ensuring a female resident was shaved and free of facial hair. On one observation, the resident was seen in the dining room with prominent whiskers covering her chin. Certified Nursing Assistants (CNAs) reported that all residents receive showers at least twice a week and that shaving for both men and women is included on shower days, and the Administrator confirmed that shaving occurs on shower days. The resident’s care plan documented an ADL self-care performance deficit and limited physical mobility, and her Minimum Data Set (MDS) indicated severe cognitive impairment and a need for substantial/maximal assistance with personal hygiene, including shaving. The facility’s policy on grooming a resident’s facial hair states that staff are to assist residents with grooming facial hair to maintain proper hygiene, but this was not carried out for this resident as evidenced by the observed facial hair. This deficiency is based on observation, staff interviews, and record review showing that the resident, who required significant assistance with personal hygiene due to cognitive and physical limitations, did not receive the grooming care outlined in her care plan and the facility’s grooming policy.
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