Failure to Provide Requested Shaving and Grooming Assistance
Penalty
Summary
The deficiency involves the facility’s failure to ensure a resident who required assistance with activities of daily living (ADLs) received necessary grooming and personal hygiene services, specifically shaving. The resident was an adult male with diagnoses including urinary tract infection, anxiety disorder, bipolar disorder, schizophrenia, and depression. His MDS showed intact cognition with a BIMS score of 15 and indicated he required supervision or touching assistance with personal hygiene tasks such as combing hair and shaving. His face sheet photo showed him with a trimmed mustache and clean-shaven face at admission. During observation, he was seen clean and groomed but with a full mustache growing over his lip and a chin beard approximately two inches long, which differed from his admission appearance. The resident reported he received showers three times a week but wanted his mustache trimmed and beard clean-shaven, and stated he had been asking to be shaved for weeks. He said staff told him he needed to make an appointment with the facility’s beauty salon, which he could not afford, and he confirmed he was not admitted with a beard. There was no care plan addressing ADLs with measurable objectives, goals, interventions, and timeframes. The CNA assigned to him on the day of observation stated she had showered him but had not shaved him or asked about his grooming preferences, and she had not consulted the charge nurse. She stated CNAs were responsible for shaving residents on shower days if requested. The RN, DON, and Administrator each stated that CNAs were responsible for grooming, including shaving, on shower days and that charge nurses, the DON, and the Administrator were responsible for ensuring residents received appropriate care. None of them were aware the resident had been requesting shaving. The facility’s policy stated that hair care, combing, and shaving would be provided in accordance with standard practice guidelines.
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