Failure to Provide Scheduled Bathing and Hygiene Assistance
Penalty
Summary
The facility failed to provide necessary assistance with bathing and personal hygiene for two residents who were dependent on staff for activities of daily living. According to facility policy and physician orders, one resident was to receive showers every Wednesday and Saturday, while another was to receive showers every Tuesday and Friday. Documentation and interviews revealed that both residents missed multiple scheduled showers, and their clinical records confirmed their need for assistance with personal care. During interviews, one resident expressed distress over not receiving showers as expected, noting greasy hair and feeling unkempt. Observations confirmed that both residents had greasy and unkempt hair at the time of the survey. The Director of Nursing acknowledged that the residents had not received showers as ordered and confirmed their unkempt appearance. The facility's own policy required documentation of the date, time, and staff involved in providing showers or bed baths, but records showed missed care events. The deficiency was identified through review of clinical records, staff and resident interviews, and direct observation, demonstrating a failure to provide necessary services to maintain personal hygiene for residents unable to perform these activities independently.
Plan Of Correction
1) Resident 3 and Resident 4 were showered, and shower documentation was completed. 2) Director of nursing or designee audited current residents to ensure showers are ordered correctly and documentation complete. 3) Director of nursing or designee educated current direct care staff on shower policy and documentation of showers. 4) Director of nursing or designee will audit 5 residents 3x per week for 2 weeks and then monthly to ensure shower offered/provided until compliance is met. Results of audits will be reviewed in QAPI each month until compliance is met. **UPDATE:** Audits will include documentation if refusal or change in schedule. Cognitively impaired residents will be visualized for cleanliness: hair, nails, general appearance.