Failure to Provide Scheduled Bathing Assistance for Dependent Residents
Penalty
Summary
The facility failed to provide necessary assistance with activities of daily living (ADLs), specifically bathing and showering, for three residents who were dependent or required assistance. According to facility policy, residents unable to perform ADLs independently should receive services to maintain good nutrition, grooming, and personal and oral hygiene. Clinical records showed that these residents had significant medical conditions such as cerebral palsy, hemiplegia, dementia, anxiety, and depression, and were assessed as needing supervision, touching assistance, or being fully dependent for bathing. Each resident was scheduled for regular baths or showers twice weekly with staff assistance as indicated in their care plans. Documentation for the month reviewed revealed multiple missed scheduled baths or showers for all three residents, with no evidence that the services were provided, offered, or refused on those dates. In one instance, a nursing note indicated a resident was denied a shower after initially refusing and then requesting it later, citing lack of time. The Director of Nursing was unable to provide additional documentation to show that the residents were offered or received bathing assistance on the missed dates, confirming the failure to provide required ADL care.
Plan Of Correction
IA: Residents R1, R2, and R3 were reviewed for their shower/bath schedule and received a shower per schedule. Whole house audit was completed to ensure all residents' shower schedules are correct and meet the needs of the residents. Education: DON or designee will educate CNAs and licensed staff on the timely provision of activities of daily living (ADL) assistance and following assigned shower/bathing schedules. Audits: Showers will be audited 3 times weekly for 2 weeks and monthly times 1 month to ensure residents are receiving showers as assigned. F 0677