Failure to Provide Scheduled Showers and Document ADL Care for Dependent Resident
Penalty
Summary
A dependent resident with diagnoses including diabetes, adult failure to thrive, and a chronic non-pressure skin ulcer, who was cognitively intact but required maximal assistance with activities of daily living (ADLs) and transfers, did not receive the required showers or baths as outlined in their care plan. The care plan specified that the resident needed assistance from 1-2 staff members to shower and was scheduled to receive a bath or shower twice weekly, on Tuesday and Friday evenings. Record review revealed a lack of documentation for bathing from July 1 to July 29, with no evidence of bathing or refusals on several scheduled dates, and no documented attempts to reschedule when the resident was unavailable or refused. During interview, the Director of Nursing acknowledged the need for staff education on documentation but did not provide further information.