F0677

D

Failure to Provide Hair Care to Dependent Resident

Pickerington, Ohio Survey Completed on 03-04-2026

Penalty

No penalty information released

Summary

Surveyors identified a deficiency related to failure to provide hair care to a dependent resident. The resident was admitted with multiple diagnoses including encephalopathy, hemiplegia and hemiparesis following cerebral infarction affecting the right dominant side, contracture of the right upper arm, hypertension, anemia, diabetes, depression, and chronic pain syndrome. An admission MDS initiated but not yet completed showed, through assessments dated 01/26/26, that the resident was severely cognitively impaired with a brief interview for mental status score of zero and was dependent on staff for all ADLs except eating, for which setup assistance was required. Review of shower sheets for several dates showed the resident refused to have her hair washed on those shower days.

Record review revealed no documentation that the resident refused hair care on days other than scheduled shower days. On 01/27/26, surveyors twice observed the resident’s hair to be matted to the back of her head, first at 11:55 AM and again at 1:49 PM. During the second observation, a CNA confirmed that the resident’s hair was matted and acknowledged that it needed to be combed. This deficiency was cited as non-compliance and was investigated under Complaint Numbers 2727003 and 2678134.