Failure to Provide Timely Bathing and Toileting Assistance for Dependent Residents
Penalty
Summary
The facility failed to provide adequate assistance with activities of daily living (ADLs), specifically bathing and timely toileting care, for residents who required moderate to total staff assistance. Multiple residents reported not receiving showers or complete bed baths as required, with some unable to recall the last time they were bathed. One resident was observed with a brown substance embedded under their fingernails, and another reported not receiving a bed bath since returning from the hospital. Residents also described significant delays in staff response to call lights, with one resident waiting up to an hour for assistance and another left on a bedpan for approximately 35 minutes before being attended to. Documentation supporting the provision of showers or bed baths was not made available for review during the survey, despite requests. Assessments indicated that the affected residents required substantial to total assistance with bathing and toileting. The facility's own policy required that all residents be offered a bath or shower at least once per week, with more frequent bathing as needed or requested. The DON stated that residents receive showers or bed baths twice a week, but this was not corroborated by resident interviews or available records.