Failure to Provide Scheduled Showers and Document Hygiene Care
Penalty
Summary
A resident who was dependent on staff for hygiene did not receive the required weekly showers as outlined in the facility's policy. The policy states that residents should be assisted with bathing to maintain proper hygiene, with showers provided according to a set schedule or upon request. Observation revealed the resident was in a high-back wheelchair, appeared pleasantly confused, and had oily, unwashed hair. The resident's family member reported that although the resident was scheduled for showers twice a week, the hair often appeared greasy and unwashed unless specifically requested or washed by the family member. Review of the resident's shower documentation for May showed showers were only recorded on three dates, with no documentation of any showers from May 10th to May 20th. The Director of Nursing confirmed that the resident should have received two to three showers during this period and that there was no documentation of refusals or showers provided. The expectation was that CNAs complete a shower sheet for each shower, and refusals should be documented in the notes, but neither was present for this resident during the specified timeframe.