Failure to Provide Scheduled Showers for Resident
Penalty
Summary
The facility failed to provide necessary services to maintain personal hygiene for a dependent resident, identified as Resident CR1, who was admitted with diagnoses including dementia and a fracture of the right foot. The resident was scheduled to receive showers on Tuesdays and Fridays during the 3:00 PM to 11:00 PM shift. However, from November 26, 2024, to December 16, 2024, the resident only received bed baths on the scheduled shower days, with no documented evidence of refusals or reasons for not providing showers as scheduled. This deficiency was confirmed by the Nursing Home Administrator during an interview on January 2, 2025, acknowledging the failure to meet the resident's personal hygiene needs and preferences.
Plan Of Correction
Step 1: Resident CR1 was discharged from the facility on 12/16/2024. Step 2: Current residents have been reviewed to ensure bathing preference is accurate and is documented as being provided per schedule. Step 3: The DON/Designee will educate certified nursing assistants to the facility process for providing and documenting resident bathing as scheduled. Step 4: The IDT will complete random audits weekly x 4 weeks then monthly x 2 months to ensure bathing is being completed per the resident preference and schedule. Trends will be reviewed by the QAPI committee for follow-up as needed.