Failure to Provide Scheduled Showers for Dependent Resident
Penalty
Summary
The facility failed to ensure that a dependent resident received showers as scheduled, resulting in a deficiency related to activities of daily living (ADLs). The resident, who was admitted with dementia and had a catheter due to urine retention and bowel incontinence, was care planned to receive bathing or showering twice weekly or per preference. Documentation showed that the resident was dependent on staff for bathing and did not refuse showers. However, bathing logs indicated that the resident did not consistently receive showers according to the scheduled days, with significant gaps between shower dates. Interviews with the resident and multiple staff members confirmed that the resident did not refuse showers and expected to receive them at least twice a week. Staff acknowledged that missed showers should be made up the next day and refusals should be documented, but there was no evidence in the progress notes that additional showering opportunities were provided when showers were missed or refused. The regional clinical support staff confirmed that the resident did not receive showers as scheduled and that missed or refused showers should have been documented.