Failure to Provide Scheduled Showers for Dependent Residents
Penalty
Summary
Quality Life Services - Mercer was found to be non-compliant with the requirement to provide necessary services for activities of daily living, specifically in the area of personal hygiene and showers for dependent residents. The facility's policy, revised in March 2020, mandates that showers be provided according to a pre-determined schedule and as needed, with staff assistance documented in Point Click Care. However, the survey revealed that three residents, who required substantial or maximal assistance for bathing, did not receive showers as per their physician orders and facility policy. Resident R3, who required substantial assistance, reported not having a shower in 2-3 weeks, with records showing only one bed bath in the past 30 days. Resident R4, also dependent on staff for bathing, had not received a shower in the past 30 days despite being scheduled for showers twice a week. Similarly, Resident R5, requiring substantial assistance, only received one shower and five bed baths over the same period. Interviews with the Nursing Home Administrator and Regional Nurse confirmed the lack of evidence for scheduled showers, indicating a failure to adhere to the residents' care plans.
Plan Of Correction
Residents #3, 4, and 5 have had their showers. Other residents have been assessed to ensure showers are being given. Shower schedule will be reviewed to ensure that all residents are included in the schedule. Education will be provided by DON/designee to all nursing staff regarding shower schedule, documentation of showers, and ensuring showers are given according to the schedule. Initial audit will be completed to review resident's preference for shower and/or bed bath. Audits will be completed 3 times a week x 4 weeks on all shifts, by DON/designee, to ensure showers are being completed. Results of the audits will be reviewed at the Quality Assurance meeting.