Failure to Provide Scheduled Showers for Resident
Penalty
Summary
The facility failed to ensure that a resident received showers as scheduled and requested, resulting in a deficiency related to activities of daily living assistance. Observation showed the resident cleaning themselves with a wet wipe, and the resident reported feeling unclean due to not receiving regular showers. The resident stated they were supposed to receive showers twice a week but only received them approximately every two weeks, despite making multiple complaints to staff. The resident also indicated a preference not to be scheduled for showers late in the evening when they were tired, and reported never being given a reason for the delay. Documentation review revealed a previous refusal of a shower by the resident, but staff interviews indicated the resident did not refuse showers for all staff members. The ADON was unaware of the missed showers, and the MDS coordinator could not provide documentation of completed showers due to missing shower sheets after the previous DON left. The facility's policy emphasized the importance of showers for cleanliness, comfort, and skin observation, but this was not consistently provided to the resident.