Failure to Provide Necessary Shaving and Grooming for Dependent Resident
Penalty
Summary
The facility failed to ensure that a dependent resident received necessary services to maintain grooming and personal hygiene, specifically shaving. Facility policy on AM care stated that morning care would be offered daily to promote comfort, cleanliness, grooming, and wellbeing, with showers or baths scheduled according to resident preference and shaving provided as desired. The resident had diagnoses including age-related osteoporosis, hypertension, and abnormalities of gait and mobility, and her care plan identified ADL/self-care/mobility deficits with an intervention for personal hygiene/grooming assistance of one staff member. Physician orders reflected a preferred bathing schedule of Tuesdays and Fridays on day shift. Surveyor observations of the resident on three separate days showed a quarter-inch presence of facial hair on her chin. Point-of-care documentation indicated the resident received a bed bath on a Tuesday and required total dependence for care. During interview, the resident stated she preferred bed baths in her room and reported that staff did not always offer to shave her. The DON stated that the resident had been shaved and that she would expect ADL care to be provided to dependent residents and shaving to be offered on bathing days and as needed. These findings demonstrated that the resident did not consistently receive shaving as part of her ADL care despite her dependence and facility policy expectations.
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