Failure to Provide Scheduled Bathing and Showering Due to Staffing Shortages
Penalty
Summary
The facility failed to provide adequate assistance with activities of daily living (ADLs), specifically bathing and showering, for two residents who were unable to perform these tasks independently. One resident, with limited mobility, a history of multiple fractures, chronic obstructive pulmonary disease, pain, and obesity, was scheduled for baths or showers three times a week. Documentation showed that this resident received only six out of thirteen scheduled baths or showers in one month, and three out of seven in the following two weeks. The resident reported going seven days without a bath or shower, expressing embarrassment and distress over the situation. Staff interviews revealed that persistent short staffing was a significant factor contributing to missed showers and baths. Certified Nursing Assistants (CNAs) and a Registered Nurse (RN) confirmed that the facility was often unable to complete all scheduled showers, especially for bedbound residents. One CNA, originally hired as a designated shower aide, was reassigned to other duties due to staffing shortages, making it difficult to complete the required number of showers. The Director of Nursing acknowledged that ongoing staff vacancies were impacting the ability to maintain the shower schedule. A second resident, with dementia, schizophrenia, and chronic obstructive pulmonary disease, was also scheduled for regular baths or showers. Documentation indicated that this resident received only seven out of twenty-five scheduled baths or showers over a two-month period, and at times, went without any offered or provided showers for multiple scheduled opportunities. Observations noted the resident appeared disheveled and unkempt, with clothing and hygiene issues addressed only after staff intervention. The lack of consistent ADL care was directly linked to staffing shortages, as confirmed by multiple staff interviews.