Failure to Provide and Document Scheduled Showers for Dependent Resident
Penalty
Summary
A deficiency was identified when the facility failed to provide and document shower services for a resident with cancer who was admitted with functional limitations in both upper and lower extremities. The resident was assessed as cognitively intact and required substantial to maximal assistance with showering, bathing, dressing, and personal hygiene, and was dependent on staff for footwear. According to the resident's care plan, showers were scheduled three times a week during the day shift. However, a review of Certified Nursing Assistant (CNA) task records over a 30-day period revealed no documented evidence that showers were provided on multiple scheduled dates. During interviews, the resident stated he had never received a shower since admission and did not refuse showers when offered, only receiving bed baths. Staff confirmed that showers or refusals should be documented in the shower books, but a review of these records with both a CNA and the Interim DON found no documentation of showers or refusals for the resident. The lack of documentation and the resident's statements indicated that the facility failed to provide the ordered care and services as required.