Failure to Offer and Complete Showers per Resident Preference
Penalty
Summary
The facility failed to ensure that showers were offered and completed according to the preferences of a resident who was unable to perform activities of daily living independently. The resident, who was cognitively intact and had difficulty walking, reported experiencing multiple room changes without prior notice, which led to confusion about her scheduled shower days. As a result, she missed some scheduled showers and was offered showers at inconvenient times, such as late in the evening or after dressing changes, leading to refusals. The resident was unsure of her current shower schedule and denied refusing showers except when they were offered at unreasonable times. Documentation review showed several instances where the resident either refused showers due to lack of advance notice or because the timing was inappropriate. In some cases, refusals were not properly documented, and staff marked 'no' in the shower task without following the expected documentation process. The Director of Nursing confirmed that staff are required to document refusals in the medical record or on a shower sheet and that showers should be offered according to the established schedule.