Failure to Provide Showers for Resident on Isolation
Penalty
Summary
A deficiency occurred when a resident who required substantial to maximal assistance with bathing did not receive showers as care planned. The resident, who was cognitively intact and had a documented need for personal care assistance, was placed in isolation due to ESBL in her urine. Despite having a private room with an attached shower, staff provided only bed baths instead of showers, citing concerns about using the shower chair during isolation. The resident and her daughter expressed dissatisfaction with the quality of the bed baths and the refusal to provide showers, even though the shower chair could be cleaned according to facility procedures. Interviews with staff confirmed that the shower chair was made of cleanable PVC material and should have been used and disinfected between uses. Documentation showed that the resident received only a few showers during the month, with one instance specifically noting a bed bath was given instead of a shower. There was no documentation of the resident refusing showers, and the facility's policy required individualized care based on assessment and care plan, including bathing. The lack of proper documentation and failure to provide showers as required led to the identified deficiency.