Failure to Provide Adequate Hygiene Care
Penalty
Summary
The facility failed to ensure that a resident, who was unable to carry out activities of daily living, received the necessary services to maintain personal hygiene. Specifically, the facility did not consistently provide showers or baths for a resident identified as R37. The facility's policy required residents to have two baths or showers per week unless otherwise stated by the resident. However, documentation revealed that Resident R37 received significantly fewer showers than required, with many months showing no showers at all and only bed baths documented. Resident R37, admitted with diagnoses including repeated falls, diabetes, and low blood pressure, expressed that choosing between a tub bath, shower, bed bath, or sponge bath was somewhat important. Despite this preference, the resident reported being unable to recall the last time they had a shower. The Director of Nursing confirmed the facility's failure to consistently provide the necessary showers or baths for Resident R37, which was a violation of the resident's rights and the facility's care policies.
Plan Of Correction
I. Resident R37 received a shower on 3/17/2025. Moving forward, all residents will be offered a shower twice a week. II. Director of Nursing/Designee will conduct a full facility sweep to ensure all residents have been offered and received a shower if requested. III. Director of Nursing/Designee will re-educate all licensed nursing and CNA on the policy that care will be provided to residents, as needed 24-hours a day to attain and maintain the highest level of functioning; to include residents are to have two bath/showers/week unless the resident states otherwise. IV. Director of Nursing/Designee will conduct a random audit of 10 showers weekly for 8 weeks to ensure residents are being offered and receiving a shower if requested. Audit results will be taken through Quality Assurance Committee meeting for tracking and trending purposes.