Failure to Provide Scheduled Bathing Assistance
Penalty
Summary
The facility failed to provide scheduled bathing to a resident who required substantial to maximal assistance with activities of daily living, including bathing. The resident, who had diagnoses including depression and diabetes and was cognitively intact, was care planned to receive showers twice weekly with staff assistance. Documentation and interviews revealed that the resident did not receive showers as scheduled, receiving only two showers during her stay—one after a delay of about a week and a half following her request, and another following an accident. The Point of Care ADL report showed inconsistent documentation, with most days indicating only partial bed baths and some entries marked as 'other,' which staff could not clearly define. The DON confirmed that residents were scheduled for twice-weekly bathing and was unaware of any refusals or alternative arrangements for the resident in question. CNA staff reported uncertainty in documenting certain types of bathing assistance and did not report any refusals from the resident. The facility's policy required bathing at least twice a week unless otherwise preferred by the resident, but there was no documentation of such a preference or refusal. The deficiency was identified through review of records, interviews with staff and the resident, and comparison with facility policy.