Failure to Provide Scheduled Bathing and Showering Assistance
Penalty
Summary
The facility failed to provide necessary assistance with bathing and showering for four residents who were dependent on staff for activities of daily living. Observations and interviews revealed that these residents had not received showers as scheduled, with some going over a month without a shower. For example, one resident reported receiving only one shower since admission several weeks prior, and another was last documented as having a shower nearly a month before the survey. In multiple cases, there were strong urine odors present in residents' rooms, and residents appeared disheveled or unkempt. Documentation in the Point of Care system showed missed scheduled showers, and there was no evidence that residents had refused care or that their preferences or refusals were addressed in their care plans. Record reviews confirmed the lack of documentation for completed showers or refusals, and the facility's own policy required detailed documentation of bathing, including refusals and interventions taken. The policy also required notification of supervisors if a resident refused a shower, but there was no documentation to support that this process was followed. The deficiency was identified through observation, interview, and review of both electronic and handwritten records, which consistently showed a lack of compliance with scheduled bathing and documentation requirements for the affected residents.