Failure to Provide Timely Nail Care and Podiatry Services Affecting Resident Dignity
Penalty
Summary
Surveyors identified a deficiency in resident dignity and quality of care related to nail care for one resident. On 2/11/26, the resident was observed sleeping in bed with fingernails that were long, unkempt, and had dark buildup underneath. On 2/13/26 at 1:26 PM, the resident’s uncovered foot was observed with exceptionally long toenails, and the resident stated, “I want them cut. They hurt me.” At 1:29 PM, an LPN assessed the toenails; the resident pulled the foot away and stated, “that hurts,” and the LPN verified that the toenails were very long. The LPN reported that the process to schedule a podiatry appointment was to verbally report the need to social work, while the Director of Social Services later described a different process requiring completion and submission of a Health Drive form by nursing and the practitioner. The Director of Social Services confirmed that no Health Drive forms had been received that day. On 2/17/26 at 9:15 AM, the resident’s toenails were again observed to remain very long, indicating that the condition persisted over several days without being addressed through appropriate nail care or timely podiatry services.
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