Failure to Provide Scheduled Showers and Personal Hygiene Assistance
Penalty
Summary
The facility failed to provide necessary services to maintain grooming and personal hygiene for seven of twelve residents, as evidenced by missed or insufficient assistance with showers and other personal care activities. Facility policy requires support for activities of daily living (ADLs), including bathing, grooming, and hygiene, but multiple residents reported consistently missing scheduled showers and having difficulty rescheduling. Residents cited reasons given by staff such as short staffing, lack of hot water, prioritization of more dependent residents, and recent power outages. These concerns were repeatedly raised in resident council meetings, with documented complaints about missed showers and lack of assistance with personal care. Clinical record reviews revealed that one resident with a history of stroke, aphasia, and hemiplegia, who required substantial assistance with showers, received only one shower in a month with no refusals documented. Another resident with heart failure and mild cognitive impairment missed eight out of fourteen scheduled showers, and reported that missed showers were not rescheduled. The Nursing Home Administrator confirmed the failure to provide necessary services to maintain grooming and personal hygiene. These findings were supported by resident interviews, documentation reviews, and meeting minutes.