Failure to Provide and Document Required Bathing Assistance
Penalty
Summary
A deficiency was identified when a resident, admitted with diagnoses including depression, seizure disorder, and fracture, and requiring one-person assistance for bathing, did not receive adequate support with activities of daily living (ADLs), specifically bathing. Observation revealed the resident's hair was greasy and unkempt, and the resident reported having received only one shower since admission, despite requiring assistance. The resident expressed dissatisfaction with her hygiene and stated that staff were aware her showers had not been completed. Review of the resident's clinical and task records showed no documentation of showers or baths provided since admission, with only 'not applicable' responses recorded. The DON confirmed that showers should be offered twice weekly and that refusals should be documented, with a bed bath provided if a shower is refused. However, no documentation was found to support that showers or alternative hygiene care were provided, and no additional records were produced to verify care delivery. Facility policy requires appropriate support and assistance with hygiene for residents unable to perform ADLs independently.