Failure to Provide Scheduled Showers and Personal Hygiene
Penalty
Summary
The facility failed to provide necessary care and services to maintain personal hygiene for three of five sampled residents, resulting in neglect as defined by facility policy. For one resident with a history of cerebral vascular accident and chronic kidney disease, documentation did not show that scheduled showers or personal hygiene assistance were provided as required, with several shifts lacking any record of care. Another resident with alcohol abuse, dementia, and multiple sclerosis was observed with poor oral hygiene and reported not remembering the last time he had a shower, with documentation failing to confirm that scheduled showers were given and several days lacking any record of personal hygiene care. A third resident, dependent on dialysis and with multiple comorbidities, stated he had only received four showers in two years and preferred showers over bed baths, but documentation did not show that scheduled showers were provided on multiple occasions. Staff interviews confirmed that showers are scheduled and should be documented, and that refusals should be recorded with alternative care provided. However, there was no evidence that refusals were consistently documented or that care plans were updated accordingly. The facility lacked a specific policy on ADL care, relying only on documentation instructions for CNAs. These failures resulted in residents not receiving scheduled showers or adequate personal hygiene, as required by their care plans and facility policy.