Failure to Provide Timely Bathing and Accommodate Resident Preferences
Penalty
Summary
A resident admitted with a left ilium fracture did not receive a shower for 11 days, despite having a scheduled shower every Wednesday and Saturday. The resident preferred morning showers, but the facility's schedule placed the shower during the PM shift. Documentation showed that staff did not assist the resident with showering from 6/23/25 until 7/4/25. The resident had refused showers three times, but there was no evidence that staff attempted to reschedule the shower to accommodate the resident's preferences or find a suitable alternative time. Additionally, there was no documented communication with the resident's physician or family regarding the prolonged period without a shower or the resident's refusals. The Assistant Director of Nursing acknowledged that not showering for 11 days was excessive and that staff should have offered alternatives and notified the physician and family. The facility's policy emphasized the importance of bathing for cleanliness, comfort, and skin observation, but these procedures were not followed in this instance.