Failure to Provide Scheduled Showers for Dependent Resident
Penalty
Summary
A resident with multiple co-morbidities who was dependent on staff for all activities of daily living (ADL) was admitted to the facility and was scheduled to receive showers twice per week on Mondays and Thursdays during the 3 pm to 11 pm shift. During a complaint investigation, it was found that the resident did not receive any showers during their stay at the facility, as documented in the shower log. Instead, the resident received only two bed baths, with no documentation indicating that this was based on the resident's preference or that showers were offered and refused. The deficiency was identified after a complaint was made regarding the resident's hygiene when transferred to a hospital, where a hospital nurse observed the resident to be dirty. The Director of Nursing (DON) confirmed that the resident was supposed to receive scheduled showers and was unaware of why this did not occur. The lack of proper documentation and failure to provide the scheduled showers led to the deficiency cited during the Medicare/Medicaid recertification and complaint survey.