Failure to Provide Consistent Bathing Assistance
Penalty
Summary
The facility failed to provide consistent bathing assistance to a resident with hemiplegia and hemiparesis following a stroke, who required partial to moderate assistance with activities of daily living, including bathing. Documentation showed that out of 44 scheduled bathing days, the resident received a shower on only 25 days, did not receive one on 18 days, and refused on one day. The resident's care plan indicated a preference for showers three times a week after getting up, but this was not consistently followed. The resident and their representative both reported issues with missed showers, particularly on weekends. Staff interviews confirmed that CNAs were responsible for bathing and that missed showers were documented as "none provided" in the Point of Care system. The system was set to alert nursing staff if a resident did not receive bathing for five days. Despite these procedures, the resident did not consistently receive scheduled showers, as confirmed by both documentation and staff statements. The facility's policy required assistance with ADLs, including bathing, every shift as appropriate, but this was not adhered to in the resident's case.