Failure to Provide Scheduled Showers for Dependent Residents
Penalty
Summary
The facility failed to ensure that residents requiring assistance with bathing received showers at the frequency scheduled or preferred, as evidenced by interviews, observations, and record reviews for three residents. One resident, admitted with cerebral infarction and hemiplegia, was cognitively intact and reported not receiving the scheduled two showers per week, often going seven or eight days between showers. Documentation confirmed that this resident received only 12 out of 20 scheduled showers over a two-month period, with only two documented refusals. Another resident, dependent on staff for all activities of daily living due to severe cognitive and physical impairment, was observed with very dry, flaky skin on multiple occasions. Records showed this resident did not consistently receive scheduled showers, with some bed baths substituted, despite staff confirming that residents are expected to receive two showers per week according to the facility's schedule. A third resident, also cognitively intact and requiring substantial assistance for bathing, was observed with greasy, unkempt hair and reported not receiving showers on time, often only once per week. Documentation indicated irregular shower frequency, not consistently matching the scheduled days. The facility's policy requires at least one complete bath and hair wash weekly, with additional baths as necessary for personal hygiene. Staff interviews confirmed the expectation of twice-weekly showers, and that refusals should be documented, but the records and resident reports indicated this was not consistently followed.