Failure to Provide Resident-Preferred Bathing Schedule
Penalty
Summary
Greenfield Healthcare and Rehabilitation Center was found to be non-compliant with the requirements for resident self-determination as outlined in 42 CFR Part 483, Subpart B. The facility failed to provide baths or showers according to the preferences of two residents, R2 and R68, as evidenced by interviews, clinical records, and observations. Resident R2, who has lupus, chronic obstructive pulmonary disease, heart disease, and rheumatoid arthritis, reported not receiving scheduled baths or showers for several weeks, despite being able to manage most of the bathing process independently. Documentation confirmed that Resident R2 missed scheduled baths/showers on multiple occasions. Similarly, Resident R68, who suffers from hemiplegia, hemiparesis, aphasia, muscle weakness, and unsteadiness, also reported not receiving scheduled showers since mid-January. The resident expressed uncertainty about when showers would be provided, as staff reportedly do not give showers on Sundays. Documentation corroborated that Resident R68 missed several scheduled showers. The Regional Clinical Consultant confirmed that the facility did not adhere to the residents' preferences for bathing frequency during the specified period.
Plan Of Correction
Residents #2 and #68 bath/shower preferences were reviewed. All residents' bath/shower preferences were reviewed by the Director of Nursing/designee. Nursing staff will be educated on resident preference and completing showers as per resident preference by the Director of Nursing/designee, and documentation of bath/shower. An audit will be conducted by the Director of Nursing/Designee on residents' bath records and 5 resident interviews to ensure that residents' preferences are being met, and documentation will be reviewed 3 times a week for 4 weeks, then 2 times a week for 4 weeks, then monthly ongoing. The audit will be monitored by the Administrator. Findings will be reported to the Quality Assurance Performance Improvement committee for review and recommendations.