Failure to Provide Required Bathing Assistance
Penalty
Summary
A deficiency occurred when a resident, admitted with depression and muscle weakness and assessed as cognitively intact, was not provided the required one-person assistance during bathing as specified in their care plan. On the date of the incident, a CNA escorted the resident to the shower room, set them up, and then left the resident alone to shower independently, contrary to the care plan instructions. The resident later reported feeling unsafe and described the experience as neglectful, although no physical harm was reported. Staff interviews confirmed that the CNA assigned to the resident was unfamiliar with the resident's specific needs and, despite reading the care plan, failed to provide the necessary assistance. Another CNA responded to the call light and found the resident alone in the shower room, subsequently staying with the resident and notifying the assigned CNA. The incident was verified by facility staff, and it was acknowledged that the required supervision was not provided during the bathing process.