Failure to Provide Scheduled Showers and Grooming for Dependent Residents
Penalty
Summary
The facility failed to provide scheduled showers and grooming for residents who are dependent on staff for Activities of Daily Living (ADL). Multiple residents were observed with poor hygiene, including matted hair, dirty skin, long fingernails with debris, and untrimmed beards. Documentation showed that showers and bed baths were not consistently provided as scheduled, and there was no record of resident refusals or preferences for alternative hygiene care. Staff interviews confirmed that some residents had not received showers or grooming for extended periods, and that documentation of care was incomplete or missing. One resident with significant medical conditions, including metabolic encephalopathy, chronic kidney disease, and osteoarthritis, was observed with contractures, matted hair, dry and flaky skin, and long, unclean fingernails. The resident reported not receiving showers and could not recall the last time her hair was washed. Another resident stated he had not received a shower or grooming in over a month, and his last documented shower was several weeks prior. Additional residents were observed with greasy, matted hair, dirty faces, and long toenails, with one resident's care plan lacking any mention of bathing or grooming needs. Facility policy requires that residents receive showers at least once weekly and as necessary, with refusals and alternative care to be documented. However, review of records and staff interviews revealed that these procedures were not followed. There was a lack of documentation for showers, refusals, or alternative hygiene care, and some residents' care plans did not address their bathing and grooming needs, resulting in unmet ADL care for several dependent residents.