Failure to Provide Required Nail Care for Dependent Resident
Penalty
Summary
Surveyors identified a deficiency in the facility’s provision of activities of daily living (ADL) care related to nail hygiene for one resident (R37). R37 was admitted on 1/2/24 with diagnoses including a stroke and right-side weakness, and a care plan dated 4/1/25 documented the need for assistance with daily hygiene, grooming, and other self-care tasks, with no evidence that the resident refused nail care. A quarterly MDS assessment dated 6/25/25 showed that R37 required moderate assistance for personal hygiene and grooming. Despite this, multiple observations from 8/18/25 through 8/21/25 showed that the resident’s fingernails on both hands were very long with dark, encrusted debris underneath each nail, and that no nail grooming had been provided over this period. During an interview on 8/21/25 at 10:16 AM, a CNA (E19) confirmed that, according to the shower record, R37 should have received nail care on 8/17/25 during the 3:00 PM to 11:00 PM shift. Later that day at 2:05 PM, an LPN (E18) observed and confirmed that R37’s nails needed to be cut, filed, and cleaned. These observations and interviews demonstrated that the facility failed to provide necessary nail care to a resident who required assistance with personal hygiene and grooming as outlined in the care plan and MDS assessment.
We Help Long-Term Care Teams Stay Survey-Ready
We process and analyze inspection reports and plan of correction using AI to extract insights and trends so providers can improve care quality and stay ahead of compliance risks.