Failure to Provide Scheduled Showers According to Resident Preference
Penalty
Summary
Facility staff failed to honor a resident's preference for twice-weekly showers, resulting in the resident receiving only one shower per week on most weeks. The resident, who was cognitively intact and had a medical history including femur fracture, osteoarthritis, chronic kidney disease, irritable bowel syndrome, gastroesophageal reflux disease, osteoporosis, anxiety, and depression, expressed during an interview that she was not receiving the two showers per week she preferred and was aware of the state requirement for this frequency. Clinical records confirmed that the resident was scheduled for showers on Tuesdays and Fridays, but documentation showed that showers were missed on two scheduled dates, with a ten-day gap between showers. Interviews with facility staff, including the CNA responsible for the resident and the RN unit manager, revealed that there was no documentation or explanation for the missed showers. The resident's care plan indicated a need for assistance with activities of daily living due to recent fracture and weakness following hospitalization. The deficiency was confirmed through review of clinical records and staff interviews, with no further information provided by facility leadership during the survey.