Failure to Provide Scheduled Showers and Baths for Dependent Residents
Penalty
Summary
The facility failed to ensure that showers and baths were provided or offered as scheduled for three residents who required extensive assistance with activities of daily living (ADLs). According to facility policy, residents unable to perform ADLs independently should receive appropriate support and assistance with hygiene and bathing. Clinical record reviews showed that one resident with diabetes, a right ankle foot ulcer, and morbid obesity required extensive assistance of two people for ADLs but did not receive scheduled showers on three occasions in April. Another resident with dementia and Down's Syndrome, requiring extensive assistance of one person, missed scheduled showers on six occasions in April. A third resident with diabetes, peripheral vascular disease, and chronic pain, requiring extensive assistance of two people, did not receive scheduled showers on five occasions in April. These findings were confirmed through review of facility shower schedules, ADL-Shower Task documentation, and staff interviews. The Nursing Home Administrator acknowledged that showers and baths were not provided or offered as scheduled for the three residents. The deficiency was cited under 28 Pa. Code: 211.12(1) Nursing services, 211.10(d) Resident care policies, and 211.12 (2)(5) Nursing services.