Failure to Provide Scheduled Showers for Residents
Penalty
Summary
The facility failed to provide adequate grooming and hygiene services for five residents who required assistance with activities of daily living (ADLs). These residents were scheduled for showers on specific days, but there was a lack of documentation indicating that showers were provided on several occasions. Interviews with the residents confirmed that they had not refused showers on the dates in question. Resident 1, admitted with diagnoses including diabetes mellitus with diabetic neuropathy and an acquired absence of the right leg above the knee, was not documented as having received showers on three scheduled dates. Resident 4, with a history of ischemic attack and diabetes mellitus, missed showers on two scheduled dates. Resident 5, diagnosed with acute chronic diastolic heart failure and difficulty walking, was not documented as having received showers on three scheduled dates. Resident 6, with hemiplegia following cerebral infarction, missed showers on five scheduled dates. Resident 8, with hypertensive heart disease and mobility issues, was not documented as having received a shower on one scheduled date. The facility's Administrator and Director of Nursing acknowledged that the residents should have been offered showers on their scheduled dates.
Plan Of Correction
1. Resident 1 has been discharged. Resident 4 received a shower on 12/3/24. Resident 5 received a bed bath and care planned as a preference. Resident 6 received a shower on 12/4/2024. Resident 8 received a bed bath and care planned as a preference. Resident 5 and 8 interviewed again for shower preference. 2. Facility will complete a 7 day look back audit of resident showers. Any resident documented as not receiving a shower on their designated day will be offered a shower. 3. The Director of Nursing/Designee will re-educate nursing staff on providing resident showers on designated shower days and/or PRN. Current residents to be interviewed to determine bathing preference. The education will include providing shower per bathing preference. If shower unable to be given, shower to be offered on the next day/shift and documented. 4. The Director of Nursing/designee will complete bathing audits weekly x 4. The results of the audits will be presented at the monthly QA meeting. 5. Date of compliance will be 1/15/2025.