Failure to Provide and Document ADL Assistance With Shaving for Dependent Resident
Penalty
Summary
Surveyors identified a deficiency in providing ADL assistance when a dependent female resident with Alzheimer's disease was repeatedly observed with visible facial hair on her chin over several days. On three separate observations, the resident was seen sitting in her wheelchair watching television with facial hair present, despite being care planned as needing assistance with ADLs, including bathing and personal hygiene. Her MDS assessment documented severe cognitive impairment and a need for partial/moderate assistance with personal hygiene and substantial/maximal assistance with bathing. Record review showed that the resident’s care plan included assistance with showers twice weekly in the morning and partial baths in between per her preference, but the shower sheets for the prior 60 days indicated she had last been assisted with shaving on 2/3/26. She had received a bed bath or shower on 2/5/26 and 2/10/26, with no refusals for shaving documented. The ADON reported that the resident frequently refused shaving, but this was not reflected in the care plan, and the Administrator stated that staff were supposed to document refusals on the shower sheets, which had not been done. This was inconsistent with the facility’s AM Care policy, which required shaving the resident if needed or requested and documenting the procedure.
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