Failure to Provide Scheduled Showers Due to Facility Hot Water Outage
Penalty
Summary
The facility failed to provide showers twice a week as required for two residents who were unable to perform activities of daily living independently. One resident, who had quadriplegia, dysphagia, speech and language deficits, and bowel incontinence, did not receive a documented shower between 4/14/2025 and 4/23/2025, despite a care plan indicating a need for total assistance with bathing twice weekly. The resident's cognitive impairment further limited their ability to communicate or perform self-care, and there was no documentation of showers during the specified period. Another resident, who required physical help from one staff member for bathing due to an ADL self-care performance deficit, also experienced gaps in shower documentation. This resident did not have a documented shower from 4/4/2025 to 4/15/2025 and again from 4/15/2025 to 4/21/2025. Facility staff reported that a circulation pump failure resulted in a lack of hot water, which affected the ability to provide showers. The facility's policy requires documentation of showers, including reasons for refusal and interventions taken, but the records did not reflect that showers were provided or refused during the affected periods.