Failure to Honor Resident Bathing Preferences
Penalty
Summary
The facility failed to honor and facilitate resident choice regarding bathing preferences for two residents reviewed for Activities of Daily Living (ADL). One resident, who preferred showers over bed baths, reported only receiving one shower per week despite being scheduled for two. Documentation over a 30-day period showed that this resident received only three showers and seventeen bed baths or sponge baths, contrary to her stated preference and care plan. The administrator confirmed that the resident was not receiving ADL care according to her preferences. Another resident, with a history of CVA, left hemiplegia, anoxic brain injury, craniotomy, spinal stenosis, myelopathy, confusion, impaired mobility, and weakness, also expressed dissatisfaction with the bathing process and reported not consistently receiving scheduled showers. Review of records indicated that out of seventeen opportunities, the resident received only four showers, with four documented refusals and nine instances where bed baths were given without any refusal noted. The administrator confirmed that this resident's preference for showers, as documented in the care plan, was not being met.