F0842

E

Failure to Document Assistance With ADLs for Dependent Resident

Metairie, Louisiana Survey Completed on 02-25-2026

Penalty

No penalty information released

Summary

Facility nursing staff failed to document assistance provided with bathing, oral care, and eating for one resident reviewed for activities of daily living (ADL) care. The resident had Parkinson's disease and essential tremors, required substantial/maximal assistance with bathing, oral hygiene, and eating per the Quarterly MDS dated 12/09/2025, and had a care plan directing staff to assist with these ADLs and to monitor and document the resident's ability to perform them. Review of the resident's December 2025 Documentation Survey Report v2 showed no documented evidence that staff provided bathing assistance on 12/15/2025, 12/22/2025, and 12/29/2025. The same review showed no documented evidence of oral care assistance on multiple day and evening shifts in December, and no documented evidence of eating assistance on multiple day, evening, and night shifts in December.

Review of the resident's January 2026 Documentation Survey Report v2 showed continued lack of documentation of ADL assistance. There was no documented evidence that staff provided bathing assistance on 01/12/2026. Additionally, there was no documented evidence of oral care assistance on specified day and evening shifts in January, and no documented evidence of eating assistance on specified day, evening, and night shifts in January. In an interview on 02/25/2026 at 3:16 PM, the Assistant Director of Nursing verified that the ADL documentation for this resident was not completed by staff as having been performed and confirmed that it should have been documented.