Pearl Of St Charles, The

brownish-orange waxy buildup to the extent see that morning and stated if she saw the buildup on

substance on R1's feet as an orange-brown waxy substance. V7 began to chip off the waxy

brownish-orange waxy substance as covering approximately 50% of the bottom of both of R1's feet.

V7 stated the orange-brown waxy substance condition was preventable with daily foot care by washing and moisturizing R1's feet and the facility staff was expected to do daily cleaning and moisturizing to remove the built-up dead skin that was easily removable with a washcloth. V7 stated if build-up occurred like that observed on 1/29/26, the staff should have returned after R1's moisturizer absorbed and cleaned R1's feet to remove the buildup. V7 (Nurse Practitioner) progress note, dated 1/28/26, shows, the patient currently has dry, flaky skin to his feet; the skin is intact and no wound is noticed; the skin at the bottom of the foot is covered 50% with waxy and yellow looking dry skin which is easy to remove.

Advised the skin care to the foot; clean with wet wash cloth and remove the dry skin buildup; apply moisturizer' reassess the foot to monitor for dry skin.

Review of R1's Medication Administration Record, dated 1/1/26 to 1/31/26, shows R1's skin check was performed daily at 7:00 PM.

Policy/Procedure Foot Care, dated 3/2025, shows, Procedure: To ensure that residents receive proper treatment and care to maintain mobility and good foot health, the facility must: 1.

Provide foot care and treatment, in accordance with professional standards of practice, including preventing complications from the resident's medical conditions.