Inspection·February 17, 2026

F 0677 Provide care and assistance to perform activities of daily living for any resident who is unable. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interviews, record review, and policy and procedure review, the facility failed to provide fingernail care for one (Resident #3) of five residents reviewed for Activities of Daily Living (ADLs), from a total survey sample of 7 residents. The finding include:On 02/17/26 at 10:49 AM, Resident #3 was observed sitting in a wheelchair adjacent to the south unit nurse's station. Several of the resident's fingernails of both hands were observed as jagged and extended approximately 1/2 inch beyond the nail bed. When the resident was asked about his nails, he stated he did not like his nails so long but could not remember if he asked the facility staff to trim his fingernails. (Photographic evidence obtained)A review of Resident #3's medical record revealed he was admitted to the facility on [DATE] with diagnoses including chronic obstructive pulmonary disease (COPD), unspecified, type II diabetes mellitus without complications, pseudobulbar affect, chronic kidney disease, stage 2 (mild), and dementia in other diseases classified elsewhere.A review of the quarterly minimum data set (MDS) assessment, dated 10/1/25, revealed the resident had a brief interview for mental status (BIMS) score of 07/15, indicating severe cognitive impairment. No psychosis or behaviors were indicated. A review of his functional status revealed he required extensive to dependent assist with activities of daily living (ADLs). A review of Resident #3's most recent care plan revealed he was care planned for ADL self-care performance deficit related to impaired cognition and functional mobility. The care plan goal noted that the resident will participate in care as able and be clean and well-groomed through next review. Care plan interventions included assisting the resident with ADL care daily including showers, transfers, incontinent care, dressing, bathing, toileting, hygiene, dining; reapproach if care is refused. The resident requires nail care as needed.personal hygiene and is dependent upon staff. The care plan did not contain information related to the resident rejecting care. On 02/17/26 at 11:42 AM, an interview was conducted with Certified Nursing Assistant (CNA) E. After observing Resident #3's fingernails, she confirmed the resident's fingernails were too long and they should have been trimmed. She further explained that resident fingernails are usually trimmed during shower days while fingernails are soft.On 02/17/26 at 12:14 PM, an interview was conducted with Licensed Practical Nurse (LPN) F. After observing Resident #3's fingernails, she confirmed that the resident's fingernails were much too long. She explained that she was familiar with the resident's care needs, which included ADL assistance. She stated that she administered medications to Resident #3 this morning but did not notice the resident's fingernails were excessively long. She further explained that the CNAs usually trim resident fingernails on shower days when the fingernails are softer and easier to trim. On 02/17/26 at 1:12 PM, a second observation was made of Resident #3's resident's fingernails. Both hands were observed as jagged and extended approximately 1/2 inch beyond the nail bed. (Photographic evidence obtained)On 02/17/26 at 1:24 PM, an interview was conducted with Licensed Practical Nurse (LPN) I/Unit manager, who explained that CNAs and nurses are permitted to file resident Residents Affected - Few (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 4 Event ID: 105570 Printed: 05/28/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 105570 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/17/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Indigo Manor 595 N Williamson Blvd Daytona Beach, FL 32114 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)