Failure to Provide Scheduled Showers and Proper Documentation for Dependent Residents
Penalty
Summary
The facility failed to ensure that three dependent residents received their scheduled showers, as evidenced by clinical record reviews, resident and staff interviews, and documentation inconsistencies. One resident, who required partial assistance with bathing and had moderate cognitive impairment, reported only receiving one shower since admission despite being scheduled for showers twice weekly. Documentation showed missed showers, with 'Not Applicable' or 'bed bath' recorded instead, and no evidence that the resident refused care, contrary to staff claims. Another resident, who had a history of abdominal surgery and a wound vac, was documented as preferring bed baths twice a week. However, interviews revealed that the resident was not asked about shower preferences and expressed confusion about not being offered showers, which he had always taken prior to admission. The wound vac was discontinued and the wound healed, yet the resident continued to receive only bed baths without reassessment of bathing preferences or needs. A third resident, with intact cognition and a preference for regular showers, reported not receiving a shower since admission and expressed distress over not having his hair washed for two weeks. Documentation indicated only bed baths were provided, with no record of showers being given or refused. Multiple CNAs confirmed the process for documenting refusals, but there was no evidence in the records that refusals occurred, indicating a lack of adherence to scheduled bathing and proper documentation.