Failure to Provide and Document Bathing Assistance for Dependent Resident
Penalty
Summary
A deficiency occurred when staff failed to provide and document assistance with activities of daily living, specifically bathing, for one resident who required substantial to maximal assistance. The resident, who had diagnoses including acute respiratory failure, epilepsy, cerebral palsy, cognitive communication deficit, bipolar disorder, and intellectual disabilities, was assessed as having severely impaired cognitive skills and was unable to complete a mental status interview. The resident's care plan indicated the need for one-person assistance with bathing. Record review showed no documentation that the resident was bathed or offered a bath from 02/23/24 through 02/28/24, despite being scheduled for a bath on 02/27/24. Staff interviews confirmed that residents are scheduled for baths according to a set schedule and refusals are to be documented, but there was no documentation of a bath being offered, completed, or refused for this resident during the specified period. The DON confirmed that the expectation was for the resident to be scheduled and provided a bath, but no documentation was found to support that this occurred.