Failure to Provide Scheduled Showers and Personal Hygiene Assistance
Penalty
Summary
The facility failed to ensure that residents received showers, shaving, and fingernail care as scheduled and required by their care plans and facility policy. Multiple residents who were dependent on staff for activities of daily living (ADLs) did not receive showers or bed baths according to the established shower schedule, and there was no documentation of refusals or alternative care provided on several occasions. In addition, residents were observed with long fingernails, beard growth, and poor personal hygiene, indicating a lack of assistance with grooming and hygiene tasks. One resident with functional quadriplegia and severe hand contractures was found with long facial hair, long fingernails, and scalp flaking, and reported not receiving preferred showers since being moved to a different room. The resident's care plan required two staff for bathing and regular nail care, but records showed missed showers and no documentation of refusals or alternative care. Another resident, also dependent on staff for ADLs, reported not receiving a shower or bed bath for several days and was unable to access his meal tray without assistance. Documentation for this resident was incomplete, with no record of showers or bed baths provided or refused since admission. Additional residents were observed with long, dirty fingernails and reported not receiving scheduled showers. Care plans for these residents also required regular bathing and grooming, but facility records did not show that these services were provided or refused on multiple scheduled days. The facility's own policies required documentation of showers, refusals, and follow-up actions, but this was not consistently done. Staff interviews confirmed that documentation practices were inconsistent and that some bed baths were recorded as showers, further contributing to the lack of accurate records.