F0677

D

Failure to Maintain Proper Nail Care and Personal Hygiene for Dependent Residents

Chatsworth, California Survey Completed on 02-24-2026

Penalty

No penalty information released

Summary

The facility failed to provide adequate grooming and personal hygiene care by not ensuring that two dependent residents had their fingernails properly trimmed. One resident, readmitted with diagnoses including metabolic encephalopathy, Alzheimer's disease, blindness in the right eye, history of TIA, and cerebral infarction without residual deficits, was documented on the MDS as having severely impaired cognition and being dependent on staff for oral hygiene, toileting hygiene, personal hygiene, and movement. During an observation in this resident's room, the resident's fingernails were noted to be long and untrimmed. In a concurrent observation and interview, an LVN confirmed that the resident's fingernails were long, extended past the fingertips, and that the undersides of the nails were brown and dirty, and stated she would ask the resident's CNA to trim the nails.

Another resident, readmitted with diagnoses including Parkinson's disease without dyskinesia, functional quadriplegia, and lack of coordination, was also documented on the MDS as having severely impaired cognition and being dependent on staff for eating, oral hygiene, toileting hygiene, and personal hygiene. During an observation in this resident's room, the resident's fingernails were observed to be long and untrimmed. In a concurrent observation and interview, the ADON described the resident's fingernails as dry, long, and uneven with sharp edges, and stated that nail care should be provided once a week and that fingernails should be kept short to prevent injury such as residents scratching themselves. Review of the facility's Nail Care policy, last reviewed on 1/15/2026, indicated it is the facility's policy to promote cleanliness, safety, and a neat appearance of residents, which was not followed in these instances.