Failure to Provide Nail Care for Dependent Resident
Penalty
Summary
Surveyors identified a deficiency in the facility’s provision of activities of daily living (ADL) care when a dependent resident did not receive appropriate nail care. The resident was admitted on 6/30/21 and had a care plan dated 6/11/25 indicating dependence for all ADLs, with an annual MDS on 6/16/25 documenting severe cognitive impairment and a need for substantially maximal assistance with personal hygiene. On three separate observations on 9/15/25, 9/16/25, and 9/17/25, the resident’s fingernails on both hands were noted to be long and in need of trimming, with dark debris present under each fingernail. During an interview on 9/17/25, a CNA stated that she trims and cleans residents’ nails on the days they receive baths, and an LPN and the Quality Manager each confirmed that the resident’s fingernails on both hands were long with dark debris underneath. These findings showed that the facility failed to provide necessary nail care for this dependent resident.
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