Failure to Provide Scheduled Showers for Dependent Residents
Penalty
Summary
The facility failed to ensure that activities of daily living (ADLs), specifically bathing, were completed for dependent residents. For one resident with diagnoses including epilepsy, psychotic disorder, hypertension, and alcohol dementia, records showed the resident was not cognitively intact and was dependent on staff for bathing. The care plan required staff assistance with ADLs, and the resident was scheduled to receive showers twice weekly. However, documentation revealed that showers were missed on multiple scheduled dates. Another resident, with diagnoses such as osteomyelitis, diabetes, COPD, asthma, and hypertension, was also dependent on staff for bathing, toileting, personal hygiene, and oral hygiene. The care plan specified assistance with bathing, offering showers at least twice weekly, and providing a bed bath on non-shower days or upon refusal. Documentation indicated that this resident did not receive showers on numerous dates, and there was no record of refusals or attempts to offer showers. Interviews with the DON and Nurse Consultant confirmed the expectation for at least two showers per week and acknowledged the lack of documentation for missed showers.