Failure to Provide Consistent ADL Assistance to Dependent Residents
Penalty
Summary
The facility failed to provide necessary assistance with activities of daily living (ADLs) for residents who were dependent on staff for care. For one resident, documentation of toileting and hygiene care was incomplete, with multiple shifts over a 30-day period marked as 'not applicable' and no evidence that toileting hygiene was provided as needed. The Director of Nursing (DON) confirmed the absence of documentation for this resident's toileting hygiene care. Another resident reported not consistently receiving scheduled bathing or showering assistance, stating that staff often postponed these tasks due to short staffing and that he had not received a bed bath or shower for several scheduled days. A review of the resident's bathing records over a 90-day period confirmed multiple missed dates for both bed baths and showers. The DON verified these gaps in care, and no additional documentation was provided to account for the missed ADL assistance.