Failure to Provide Scheduled Showers and ADL Assistance
Penalty
Summary
A deficiency was identified when a resident who required assistance with activities of daily living (ADLs), specifically bathing and personal hygiene, did not receive showers as scheduled according to his care plan. The resident, an adult male with diagnoses including myocardial infarction, hypertension, muscle weakness, and chronic obstructive pulmonary disease, was cognitively intact and did not refuse care. His care plan specified that he preferred showers on Tuesday, Thursday, and Saturday, and required assistance from staff to complete these tasks. Record reviews showed inconsistencies in the documentation of showers provided, with some days showing no shower and others indicating showers at irregular times, including multiple entries on the same day. During interviews, the resident reported not receiving a shower in over a week and expressed feeling bad about not receiving regular showers. Staff interviews confirmed that the resident did not refuse showers and that it was the responsibility of CNAs and nurses to ensure showers were provided as scheduled. One CNA admitted to not providing a shower due to time constraints and being busy with other resident needs. The facility's policies required that residents unable to perform ADLs independently receive necessary services to maintain hygiene and grooming. Despite these policies, the resident did not consistently receive scheduled showers, and staff acknowledged the importance of providing this care to prevent skin issues and maintain resident comfort. The deficiency was further supported by the facility's own documentation and staff statements regarding the failure to provide showers as planned.