Failure to Provide Scheduled Bathing Assistance and Inadequate Documentation
Penalty
Summary
The facility failed to provide scheduled bathing assistance to two residents who required help with activities of daily living. One resident, with diagnoses including cancer, anemia, atrial fibrillation, hypertension, heart failure, and end stage renal disease, was admitted and discharged within a week and required assistance from one staff member for bathing. Despite being scheduled for sponge baths or showers twice weekly, there was no documentation that this resident received any baths during their stay, nor were there records of attempts to offer or encourage bathing. Another resident, with moderately impaired cognition and diagnoses of hypertension, peripheral vascular disease, diabetes mellitus, and a history of stroke, required substantial assistance for bathing. This resident was scheduled for baths or showers twice weekly, but records showed inconsistent documentation between electronic and paper forms. There was a period of several days without a documented bath, and no evidence of additional attempts to offer or encourage bathing after a refusal. Staff interviews confirmed that documentation practices were inconsistent and that required follow-up after refusals was not always performed or recorded.