Failure to Provide Adequate Oral Hygiene and Personal Care
Penalty
Summary
The facility failed to ensure adequate oral care for Resident #21, who was care planned to receive oral care every shift and as needed, with one staff member assisting with personal hygiene and oral care. Resident #21 had spastic quadriplegic cerebral palsy, quadriplegia, adult failure to thrive, was cognitively intact, and was dependent on staff for eating, oral hygiene, toileting hygiene, bathing, dressing, personal hygiene, and bed mobility. He was always incontinent of bowel and bladder and did not reject care during the assessment look-back period. His care plan identified an ADL self-care performance deficit related to his diagnoses, with the goal to improve his current level of function in ADLs. During observations, Resident #21 was found in bed with his head tilted to the left, reporting that some aides did not take care of him and specifically stating he would like someone to brush his teeth. Surveyor observation revealed a large buildup of yellowish-brown food material and apparent tartar at the base of all his teeth where they met the gums, and his hair was matted at the back of his head. A CNA, who was new to the hall and had not previously cared for this resident, confirmed that his teeth had a large amount of yellowish-brown buildup and appeared not to have been brushed for a long time, and also confirmed his hair was matted. The facility’s policy on resident rights stated that residents have the right to be treated with dignity and respect and to receive needed care and services. This deficiency was cited under a complaint investigation.
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