Failure to Provide Scheduled Showers for Resident
Penalty
Summary
The facility failed to ensure that a resident, who was unable to carry out activities of daily living independently, received the necessary services to maintain personal hygiene. Specifically, the facility did not provide showers or baths as scheduled for a resident who required assistance due to dementia. The resident was cognitively intact and had a care plan that included receiving showers every Sunday and Wednesday evening. However, there was no documented evidence that the resident was offered or refused a shower on multiple occasions between December 2024 and January 2025. This was confirmed by the Nursing Home Administrator during an interview, indicating a lapse in adhering to the resident's care plan and preferences.
Plan Of Correction
R2 was interviewed by a registered nurse (RN) and verbalized she does refuse showers. Educated on benefits vs. risks. Skin assessment complete and no concerns identified. Shower was provided once R2 agreed. Resident preferences for showers/bathing reviewed and tasks in point of care updated to reflect preferences for all current residents and is completed upon admission for new admissions with interdisciplinary team follow up in clinical meetings. Re-education on F677 with nursing staff on F677 with a focus on providing residents with showers/baths as scheduled and proper documentation for refusals. Audits to be completed by director of nursing/designee weekly x 2 weeks, then monthly x 2 months. Results of audits will be reviewed at the facility's Quality Assurance Performance Improvement (QAPI) meetings.