Failure to Provide Adequate Grooming and Hygiene Services
Penalty
Summary
The facility failed to provide necessary services to maintain adequate grooming and hygiene for a resident, identified as R315. The resident was alert, oriented, and able to communicate her needs, with diagnoses of fractures and malnutrition, and impairments to both sides of her upper and lower body. According to her Minimum Data Set (MDS), she was dependent on staff for all activities of daily living and expressed a preference for choosing between different types of baths. Despite this, the resident reported never being offered a shower since her admission, only receiving bed baths, which she found unsatisfactory. An interview with her nursing aide confirmed that staff only provided bed baths, assuming showers might be too strenuous for the resident. However, the resident's physician orders indicated scheduled shower/bath days twice a week, with no restrictions on showering noted in her clinical records.
Plan Of Correction
This plan of correction is submitted to comply with Federal Regulations. This plan is not an admission of guilt, or wrongdoing, nor does it reflect agreement with the facts and conclusions stated in the statement of deficiencies. - Resident's R315 Physician orders were clarified to reflect restrictions for showering. - An audit was completed to identify if there were any residents that had restrictions for showers to ensure appropriate documentation was in place. Nursing staff will be educated on obtaining Physician orders and ensuring appropriate documentation is in the resident clinical record if any resident has restrictions for showers. - DON/Designee will audit all new admissions/readmissions to make sure that Physician orders are obtained for any residents with showering restrictions. Audits will be done weekly x4 weeks and monthly x2 months. Results of these audits will be reviewed at the Quality Assurance Meeting to determine if further action is needed.