Failure to Provide Scheduled Showers for a Resident
Penalty
Summary
The facility failed to ensure that Resident 24, who was dependent on staff for bathing and showering, received showers as per her preference and schedule. The resident, who was cognitively intact and had chronic congestive heart failure and diabetes, had a documented preference for showers twice a week on Wednesdays and Sundays during the day shift. However, a review of the Bath/Shower record from October to December 2024 revealed that the resident was consistently provided with bed baths instead of showers on multiple occasions, including all of November and specific dates in October and December. Interviews with Resident 24 and the Director of Nursing highlighted that the resident was not receiving her preferred showers due to various excuses provided by the staff, such as the lack of hot water or the shower room being too cold. Furthermore, there was no documented evidence that the resident was offered or refused a shower on her scheduled days when bed baths were given instead. This lack of adherence to the resident's bathing preferences and schedule constitutes a failure to meet the requirement of providing necessary services to maintain good personal hygiene.
Plan Of Correction
1. Resident 24 suffered no adverse effects. Education was provided to all nursing staff on following resident preferences. 2. The Director of Nursing or designee will review residents' tasks to ensure preferences on bathing/showering are being met or documented as completed. 3. The Director of Nursing or designee will educate all staff on documentation of tasks and refusals, making sure resident preferences are followed. 4. The Director of Nursing or designee will do random audits on bathing preferences for a minimum of 10% of the population 2 times a week for 4 weeks, monthly for 2 months to ensure showers/bathing preferences are followed. The Director of Nursing or designee will report the results of the audit to the facility's Quality Assurance Committee. 5. Date of Compliance: 3/5/2025