Unsecured Disposable Razors in Dementia Unit Bathrooms
Penalty
Summary
The facility failed to ensure the environment was free from accident hazards and did not provide adequate supervision to prevent accidents by allowing disposable razors to be unsecured in shared bathrooms on a dementia unit. During an observation of one shared bathroom used by two cognitively impaired residents, an unlocked tri-fold mirrored vanity above the sink was found to contain a disposable razor. The Memory Care Director, present at the time of the observation, stated that razors should not be left in residents' bathrooms. Record review showed that one of these residents had diagnoses including hallucinations, cognitive communication deficit, and unspecified dementia with severe cognitive impairment per a quarterly MDS, while the other had unspecified dementia and moderate cognitive impairment per a quarterly MDS. In a second shared bathroom, also on the memory care unit and accessible from the unit’s main dining room, surveyors observed two disposable razors stored in an unlocked tri-fold mirrored vanity above the sink. The Memory Care Director reported that family members had brought in the razors and acknowledged they should not have been left in the bathroom. Record review for the two residents using this bathroom showed diagnoses of unspecified dementia with severe cognitive impairment and cognitive communication deficit for one resident, and moderate unspecified dementia with agitation and anxiety for the other, with both needing assistance or having needs related to personal care. A CNA reported that these residents could toilet themselves and stand at the sink independently and that she did not normally keep razors in residents’ bathrooms. During an interview, the Administrator stated he was unable to locate a facility policy for storage of disposable razors.
