State inspectors found four of ten residents examined had long fingernails, some with brown debris underneath, during a December inspection at the 1105 Perry Highway facility.
"Yeah," replied one stroke patient with hemiplegia when inspectors asked if he needed his nails cut. His fingernails were long with brown debris underneath.
Another resident with dementia had "long and jagged fingernails." When asked if she needed them cut, she said, "I need them cut but I don't know who cuts them."
A third resident with Parkinson's disease also had long fingernails with brown debris underneath. "Yes, I do," he answered when asked if he needed nail care.
The facility's own policy requires daily cleaning and regular trimming of fingernails and toenails. But a family representative's December 22 complaint stated: "They don't clean or cut his nails. I'm the one that cuts his nails."
During walking rounds on December 30, the Assistant Director of Nursing confirmed the inspectors' observations about all four residents' nail conditions.
The nursing supervisor acknowledged the facility had failed to provide proper nail care for the residents. Three of the four residents had serious medical conditions including stroke, dementia, and Parkinson's disease that would make self-care difficult or impossible.
The violation occurred despite the facility having written policies requiring nail care as part of basic hygiene assistance for residents unable to perform activities of daily living themselves.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Highland Hills Post Acute from 2025-12-30 including all violations, facility responses, and corrective action plans.