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How we protect residents

Safety is a practice—not a slogan.

Core Nail Wellness uses defined service, infection-prevention, consent, documentation, and referral practices to support consistent, respectful nail care in senior living and care environments.

These practices do not eliminate all risk, and they do not replace facility or healthcare protocols. They establish how CNW works within its role.

Licensed nail services Non-medical scope Resident consent required Service screening Documented infection prevention Referral & escalation process

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01Consent is ongoing

Resident Dignity & Consent

Every resident is treated with respect, privacy, patience, and age-appropriate communication.

Before and during service, CNW confirms that the resident is willing to participate; required authorization is available; the planned service is explained in understandable terms; positioning and communication needs are considered; and the resident may pause or stop at any time.

A representative’s authorization does not erase the resident’s right to resist or withdraw participation.
02Screen before every service

Pre-Service Screening

Before beginning, the technician visually observes the nails and surrounding skin and considers the resident’s ability to participate safely. CNW may defer, stop, modify, or decline service when:

  • fungus is suspected;
  • an open wound or sore is present;
  • skin or nail tissue appears inflamed, infected, broken, raised, or swollen;
  • unexplained bleeding, drainage, heat, severe redness, or significant pain is present;
  • the resident is acutely ill, distressed, unable to participate, or withdraws consent;
  • the environment or positioning is unsafe;
  • the requested service exceeds the technician’s training or lawful scope.
Screening is not a diagnosis or medical clearance.
03Licensed, non-medical

Scope of Service

CNW may provide:

  • nail trimming, filing, shaping, and buffing;
  • conservative cuticle care;
  • manicures and pedicures;
  • moisturizing and hydration services;
  • comfort-focused massage when appropriate;
  • polish application and removal;
  • gentle non-blade callus smoothing;
  • thickened or overgrown nail maintenance when within training and scope;
  • visual observation of nails and surrounding skin.

CNW does not provide:

  • diagnosis or treatment of medical conditions;
  • podiatry or medical foot care;
  • wound care;
  • treatment of infections or fungal conditions;
  • removal of corns, lesions, or living tissue;
  • use of razor-type callus shavers;
  • invasive procedures;
  • services outside North Carolina manicurist licensure.
CNW provides licensed, non-medical nail services.
04Observe & report

Referral & Facility Notification

When an observed concern appears outside CNW’s scope, the technician may decline or discontinue the service; document objective visible observations; notify the designated facility contact when authorized or required; recommend review by an appropriate healthcare professional; and follow applicable incident or referral procedures.

CNW does not name or diagnose the condition.
05Cleaned & disinfected

Infection-Prevention Practices

CNW’s practices include:

  • hand hygiene before and after each resident;
  • clean garments and professional personal appearance;
  • clean and prepared service supplies;
  • cleaning and disinfection of reusable implements after each use;
  • clean, closed storage of processed non-electrical implements;
  • separate clean storage for electrical items;
  • disposal of porous and single-use items after one use;
  • sanitary product dispensing;
  • disinfection of resident-contact surfaces between services;
  • proper labeling and handling of disinfectants;
  • access to applicable Safety Data Sheets;
  • PPE use according to exposure risk and product instructions;
  • separation of clean and contaminated items.
CNW uses cleaned and disinfected implements. We do not advertise “sterile” implements, as sterilization requires a separate validated process.
06Stop, contain, document

Blood Exposure Response

When skin is accidentally punctured or blood is observed, CNW stops the service and follows its blood-exposure process, which includes applying appropriate protective gloves; making basic first-aid supplies available; controlling contamination; cleaning and disinfecting affected implements and surfaces; disposing of contaminated single-use materials; completing required notification and documentation; and referring or escalating when medical evaluation may be needed.

CNW personnel provide only basic first aid within their role.
07A safety decision

Service Modification, Refusal & Early Exit

CNW may pause, modify, decline, discontinue, or reschedule services when continuing would be unsafe, inappropriate, outside scope, or inconsistent with consent. CNW may also end a service visit when the facility environment presents:

  • an outbreak or quarantine restriction;
  • unavailable or unsuitable service space;
  • unresolved access or consent failures;
  • aggressive or threatening behavior;
  • an emergency or environmental hazard;
  • conditions that prevent safe operation.
A good-faith safety decision is not punitive. It protects the resident, facility, technician, and program.
08Minimum necessary

Privacy & Documentation

CNW collects only information reasonably necessary to coordinate, provide, document, communicate, and bill for services.

Records are handled according to CNW privacy, access, retention, and information-security requirements and any additional obligations created by law or contract.

HIPAA applicability depends on the specific parties, information, and arrangement; CNW does not claim automatic HIPAA-covered status.
09Shared responsibility

Facility Partnership Responsibilities

Safe service requires facility participation. Partner facilities are expected to support:

  • accurate scheduling and resident lists;
  • appropriate consent or representative authorization;
  • a designated service-day contact;
  • safe access and suitable space;
  • relevant facility infection-control and emergency instructions;
  • timely communication of known restrictions or changes;
  • resident readiness and transport where applicable;
  • prompt response when concerns are reported.
10Chosen, not assumed

Clean Product Selection

The products we choose are part of our standard of care. We do not select products based on trends, marketing claims, or luxury branding. Every product is evaluated through our internal Clean Product Standards before it is approved for resident care.

We evaluate products for:

  • complete ingredient transparency;
  • suitability for aging and sensitive skin;
  • known irritation and sensitization risks;
  • regulatory compliance;
  • manufacturer quality and traceability;
  • safe storage and handling;
  • consistency and reliability.

We also maintain an approved product list and routinely review products for recalls, reformulations, or new safety information.

Because caring for vulnerable adults means every product matters.

Our product promise

Every product we use has earned its place in our service—not through marketing claims, but through careful evaluation.

We believe residents deserve products that are thoughtfully selected, appropriately sourced, transparently labeled, and suitable for the unique needs of aging and sensitive skin.

Safety isn’t just about how we perform a service. It’s also about what touches your skin.

The standard, in one line

Safety without compromise means CNW will not complete a service merely because it was scheduled or paid for.

When the appropriate decision is to stop, defer, or refer, that is the service standard.