Failure to Provide Scheduled Showers for a Resident
Penalty
Summary
The facility failed to provide Activity of Daily Living (ADL) assistance for Resident R1, specifically in the provision of scheduled showers. According to the facility's policy, care should be provided 24 hours a day to maintain the highest level of functioning for residents, with specific tasks assigned to different shifts. Resident R1 was scheduled to receive showers on Tuesdays and Fridays during the 3 p.m. to 11 p.m. shift. However, documentation revealed that Resident R1 did not receive a shower during the week of December 1 to December 7, 2024, and there was no record of a shower being provided or refused during this period. Resident R1, who has diagnoses including diabetes, hyperlipidemia, and hypertension, was identified as being at risk for functional decline in ADLs and required monitoring of skin integrity during baths/showers. During an interview, Resident R1 mentioned that the facility was short-staffed in the evenings, which led to missing a shower. The Director of Nursing confirmed the failure to provide the required ADL assistance, acknowledging the deficiency in care provided to Resident R1.
Plan Of Correction
Resident R1 has been provided a bed bath per resident request and continues to be offered showers as per shower schedule. The facility will ensure that nursing staff follow shower schedules as per plan of care. The Director of Nursing or designee will educate all nursing staff on proper shower schedules and appropriate documentation of care. The Director of Nursing or designee will perform 10 shower audits weekly for 4 weeks, then monthly for 3 months, to ensure residents are receiving appropriate hygienic care per their plan of care. The results of these audits will be forwarded to the monthly Quality Assurance and Performance Improvement Committee for review and frequency of audits.