Failure to Provide Weekly Showers for Dependent Resident
Penalty
Summary
A facility failed to provide a dependent resident with weekly showers for a period of two months, despite the resident's need for assistance with all activities of daily living (ADLs) due to conditions including cerebral infarction, hemiplegia, and hemiparesis. The resident was admitted in 2018 and was documented as being dependent on staff for completion of ADLs. Interviews with the responsible party and staff, as well as review of clinical records and electronic medical records (EMR), confirmed that the resident did not receive a shower in May or June 2025, although daily bed baths were provided. The facility's policy required that bedridden residents receive daily bed baths and weekly showers, but this was not followed for the resident in question. Multiple staff members, including the Director of Staff Development, Licensed Nurse, Medical Records staff, and the DON, confirmed through interviews and record reviews that there was no documentation of showers being provided during the specified period. The DON acknowledged that the facility's policy was not followed and confirmed the absence of weekly showers for the resident. The deficiency was identified through interviews, record reviews, and confirmation that the facility's own bathing policy was not adhered to for this resident.