Failure to Provide Scheduled Showers and ADL Assistance
Penalty
Summary
The facility failed to provide scheduled showers and adequate assistance with activities of daily living (ADLs) for two residents who were unable to perform these tasks independently. One resident, with diagnoses including type 2 diabetes, end-stage renal disease, muscle weakness, and morbid obesity, required substantial to maximum assistance with showering or bathing and was scheduled for showers on specific days. However, documentation showed missed showers, and the resident reported not receiving a bed bath or shower for about a month, particularly due to being out of the facility for dialysis on scheduled shower days. Staff interviews indicated that showers or bed baths were supposed to be provided and documented, but records did not support this. Another resident, with legal blindness, muscle weakness, glaucoma, and schizophrenia, also required assistance with showering or bathing. Documentation for this resident showed gaps in the provision of showers or baths, and the resident reported not receiving showers as scheduled. Observations confirmed the resident wore the same clothing on consecutive days. Staff interviews confirmed that showers were to be provided on certain days, with bed baths on others, but documentation and resident reports indicated this was not consistently done. Facility policy required that residents unable to perform ADLs independently receive appropriate support with hygiene, but this was not followed for the two residents identified.