Waters Of Tipton Skilled Nursing Facility, The

During an observation, on 11/12/25 at 10:00 a.m., Resident C was resting in his room and had a full beard and mustache.The clinical record for Resident C was reviewed on 11/10/25 at 2:50 p.m.

The diagnoses included, but were not limited to, Parkinson's disease, type 2 diabetes mellitus, dementia with agitation, cognitive communication deficit, Alzheimer's disease, depression, and dysphagia.A quarterly MDS assessment, dated 8/25/25, indicated Resident C had severe cognitive impairment.A facility profile picture of Resident C in the electronic medical record showed the resident with a beard and mustache.In a facility witness statement, dated 11/4/25 at 1:49 p.m., CNA 8 indicated she worked on 8/29/25 from 2:00-6:00 p.m. QMA 1 was in the dining room laughing and asked her how Resident C looked without eyebrows. CNA 8 asked QMA 1 what had happened and QMA 1 indicated she had shaved them off. CNA 8 asked QMA 1 if his Power of Attorney (POA) was going to be upset and QMA 1 indicated his POA never came to the facility. CNA 8 notified RN 9. RN 9 asked Resident C if he had given permission to have his beard and eyebrows shaved and he said no. RN 9 indicated she would tell the DON.In a facility witness statement, dated 11/6/25, CNA 5 indicated she had not worked the day the resident's eyebrows and face were shaved, but when she came to work the next day, the resident's eyebrows and facial hair were all shaved off. LPN 7 indicated to CNA 5 that the resident had been done dirty.

The staff routinely used an electric razor to trim and shave Resident C.

She did not report it because she believed the nurse was already aware.In a facility witness statement, dated 11/6/25, LPN 7 indicated Resident C had no eyebrows when she saw him. QMA 1 laughed very loud about it and said it was an accident. LPN 7 indicated she had informed the DON at the time, and the DON had said she would investigate it.In a facility documented phone interview, QMA 1 had indicated to the ED, Resident C's daughter requested the staff trim his eyebrows.

She had used a comb and an electric razor but did not realize the razor did not have a guard on it and had accidentally shaved 1 eyebrow completely off.

She told the nurse on duty, but did not remember who it was, and the nurse told her to match the eyebrows up, so QMA 1 shaved the other eyebrow off.

She trimmed his beard and mustache in the shower like they routinely did but decided to shave all his beard and mustache off that day.

The daughter had not requested her to shave all his hair off.

During an interview, on 11/12/25 at 10:54 a.m., the legal guardian for Resident C indicated she had not seen him for about 6 weeks prior to the end of August.

The resident had always preferred to have a mustache and beard.

She came in at the end of August to visit and noticed his mustache, beard, and eyebrows had been shaved.

She was surprised and asked him what happened. He told her the staff did it but could not say who.

Last week, his daughter called her and said Resident C was not happy the staff were still trimming his beard. He had always preferred facial hair and saw the beautician at the facility.

The staff could trim it, but under no circumstance should they shave it completely off.

The legal guardian did not request anyone to trim his eyebrows.

During an interview, on 11/12/25 at 11:15 a.m., CNA 6 indicated the staff would shave Resident C on his shower days.

There were disposable twin blade razors in the shower room.

She had been employed at the facility for 3 years and Resident C did not have any hair clippers that she was aware of.

Resident C always preferred to have facial hair. A current facility document, titled Your Rights and Protections as a Nursing Home Resident, provided by the DON on 11/10/25 at 10:00 a.m., indicated .You have the right to be treated with dignity and respect.This citation relates to Intake 2659059.3.1-3(t)

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