Failure to Honor Resident's Shower Preferences
Penalty
Summary
Facility staff failed to honor a resident's expressed preference for twice-weekly showers. The resident, who had diagnoses including a left femur fracture, osteoarthritis, malnutrition, and anxiety, was assessed as moderately cognitively impaired and indicated on the admission MDS that choosing how to bathe was very important. Review of shower records showed the resident only received a shower on one occasion, with subsequent bathing logs indicating bed baths rather than showers on the scheduled days. The unit manager confirmed the resident was scheduled for showers twice weekly but could not provide evidence that these showers were consistently provided as scheduled. This deficiency was presented to facility leadership, and no additional information was provided prior to the exit conference.