Failure to Provide Scheduled Showers Due to Staffing Shortages
Penalty
Summary
The facility failed to provide scheduled showers for five out of eight residents reviewed for Activities of Daily Living (ADLs). Multiple residents reported not receiving their scheduled showers, with one resident stating that she is supposed to receive showers twice a week but this does not always occur. Staff interviews confirmed that on days with insufficient staffing, showers could not be provided as scheduled. One CNA reported being unable to provide showers, incontinence care, or feeding to all residents due to low staffing levels. Another CNA stated that when a shower is missed or refused, it should be documented and attempted again, but documentation was missing for several residents on scheduled shower days. Review of facility records and shower sheets revealed that several residents did not receive the required two showers per week, and in some cases, there was no documentation of showers or bed baths for extended periods. The facility's policy requires proper daily attention and care, including as many baths as necessary for hygiene needs. However, the lack of documentation and missed showers indicate that this standard was not consistently met for the residents involved.