Federal inspectors found Resident 85 on September 10 with the same overgrown facial hair and fingernails they had observed two days earlier. When they asked him about his hygiene care, he showed them the single washcloth he'd been given "a while ago."
The nursing assistant, identified as NA 10, told inspectors she had been assigned to the resident "a few times" and left him with the washcloth to "protect his privacy while he was using the urinal." She said she planned to return to help him with a bath.
But she hadn't offered basic grooming services. When inspectors pointed out the resident's long facial hair and fingernails, NA 10 agreed both needed trimming. She admitted she had never offered him shaving or nail care.
By 3:39 PM that same day, someone had shaved the resident's facial hair. His fingernails remained unchanged from observations dating back to September 8, with debris still caked under the free edges.
"She left and said she would try to do it later," the resident told inspectors about his nail care.
NA 10 promised inspectors she would cut his fingernails "later, after dinner" when they interviewed her again at 3:45 PM. A nurse who examined the resident's bedside eight minutes later agreed his nails were too long and should have been trimmed.
The facility's Unit Manager 1 told inspectors during a September 11 interview that she hadn't noticed the resident's facial hair or long nails during her daily rounds. She explained she wasn't checking to ensure staff completed activities of daily living like shaving and nail care.
"She was mostly concerned with residents being clean, dry, and fed," according to the inspection report.
The Director of Nursing said he was unaware the resident's facial hair exceeded a quarter-inch in length or that his fingernails extended more than a quarter-inch past his fingertips with dark material underneath. He blamed the problems on agency staff providing care and said the facility was working with the agency to improve quality.
The DON said he expected staff to provide activities of daily living care, including shaving and nail care.
Federal regulations require nursing homes to ensure residents receive necessary services to maintain good nutrition, grooming, and personal hygiene. The violation carried a finding of minimal harm or potential for actual harm affecting some residents.
The inspection occurred September 13 following a complaint about care at Blumenthal Health and Rehabilitation Center on Wireless Drive.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Blumenthal Health and Rehabilitation Center from 2025-09-13 including all violations, facility responses, and corrective action plans.
Additional Resources
- View all inspection reports for Blumenthal Health and Rehabilitation Center
- Browse all NC nursing home inspections