Failure to Provide Scheduled Bathing Assistance
Penalty
Summary
The facility failed to provide at least two baths per week for two of three residents reviewed, despite both residents being assessed as requiring substantial or maximal assistance for showering. Clinical record reviews showed that both residents were scheduled for showers twice weekly, but documentation revealed that the actual number of showers received was inconsistent and often less than scheduled. One resident, with intact cognition and a care plan indicating the need for one-person assistance, reported not receiving showers very often, and records confirmed missed showers over several months. Another resident, also cognitively intact and requiring similar assistance, stated that staff were slow to provide showers and reported not having had a shower for over a week, with physical signs such as greasy hair and slight body odor observed during the survey. Interviews with both residents corroborated the documentation findings, as they expressed concerns about the infrequency of showers. The administrator confirmed that all residents should be receiving showers twice a week, as per facility policy. The deficiency was identified through a combination of clinical record review, resident interviews, and staff interviews, highlighting a failure to consistently provide scheduled bathing assistance to residents unable to perform activities of daily living independently.