Failure to Provide Scheduled Showering Assistance for Dependent Resident
Penalty
Summary
A deficiency was identified when a resident who was dependent on staff for activities of daily living (ADL), including bathing and personal hygiene, did not receive the scheduled assistance with showering. The resident, who had multiple significant medical diagnoses such as COPD, severe sepsis, acute chronic hypoxic respiratory failure, and colitis, was admitted to the facility and care plans indicated a need for staff assistance with bathing. The facility's shower schedule showed the resident was to receive showers twice weekly during the night shift, and the Minimum Data Set assessment confirmed the resident required supervision or assistance for showering. Record review revealed that during the resident's stay, only one shower was documented, with no evidence of additional showers or refusals. The resident's son expressed concern about the lack of showering, stating that his mother required more frequent hygiene care due to her health issues. The DON confirmed that only one shower was documented and stated that all showers or refusals should have been recorded, indicating a failure to provide and document the required ADL assistance.