F0677

E

Failure to Provide Needed Assistance With Personal Hygiene and Grooming

Burr Ridge, Illinois Survey Completed on 12-31-2025

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to provide needed assistance with personal hygiene and grooming for multiple residents who were care planned as dependent on staff for ADLs. One resident with severe cognitive impairment and diagnoses including unspecified dementia required total assistance with upper body dressing and personal hygiene per the admission MDS and care plan. On two consecutive days, this resident was observed in the dining room with long curling facial hair above the lips, uneven and jagged fingernails with chipped nail polish and dark substances underneath, and a soiled shirt with white stains and food debris. The resident stated she needed staff assistance and wanted her facial hair removed, fingernails cleaned and trimmed, and her shirt changed, despite an active care plan that included interventions for assistance with dressing and personal hygiene to maintain a well-groomed appearance.

Another resident with diagnoses including diabetes with chronic kidney disease, glaucoma, and rheumatoid arthritis, and who was moderately cognitively impaired, was assessed on the MDS as requiring total assistance with personal hygiene. This resident was observed in bed on two separate days with long facial hair above the lips and on the chin, and long, jagged fingernails with black substances underneath. The resident reported needing staff assistance for facial hair removal and nail care and expressed a desire to have facial hair shaved and fingernails trimmed and cleaned. The DON was present during one observation and acknowledged the resident needed staff assistance with nail care and shaving, despite the resident’s active care plan identifying an ADL self-care performance deficit and interventions for assistance with personal hygiene.

A third resident with unspecified Alzheimer’s disease and unspecified dementia, assessed as severely cognitively impaired and totally dependent on staff for upper body dressing and personal hygiene, was observed in the dining room wearing a shirt with food debris and having uneven, mostly jagged fingernails with black substances under some nails. The following day, the resident’s fingernails remained uneven and jagged with dark material under some nails, and the ADON acknowledged that nail care was needed. This resident’s care plan documented an ADL self-care performance deficit with a goal of a well-groomed appearance and interventions for assistance with dressing and personal hygiene/grooming. A fourth resident, a 91-year-old with dementia, diabetes, and muscle wasting, whose MDS showed a need for assistance with grooming and hygiene, was repeatedly observed over several days with unkempt, overgrown facial hair and jagged, uneven, dirty fingernails with black/brown substance underneath. This resident verbally stated a desire to have fingernails clipped and facial hair shaved. The DON later stated it is part of nursing care and services to assist all residents needing help with nail care, dressing, and removal of unwanted facial hair to maintain personal hygiene and grooming, yet these needs were not met for the observed residents.