Failure to Provide Timely ADL Assistance and Scheduled Showers
Penalty
Summary
The facility failed to provide timely assistance with activities of daily living (ADLs) for two residents. One resident with chronic respiratory failure and hemiplegia, who required substantial assistance to reposition in bed, repeatedly requested to be pulled up in bed during medication administration. Despite making multiple requests to staff, including a Qualified Medication Aide (QMA) and the presence of two Certified Nurse Aides (CNAs), the resident was not assisted in a timely manner. The QMA indicated that the CNA was busy and would assist when available, but the resident remained unassisted for an extended period, as confirmed by subsequent observation and resident interview. Another resident with a history of stroke and who was cognitively intact did not consistently receive scheduled showers as outlined in her care plan, which specified showers twice weekly with partial bed baths in between. Documentation and resident interviews confirmed missed showers on scheduled days, and the Director of Nursing acknowledged the expectation for regular showers and partial baths, but there was no formal policy on ADL care. These failures were identified through observation, record review, and interviews with residents and staff.