Failure to Provide Scheduled Showers and Support Resident Self-Determination
Penalty
Summary
A deficiency was identified when a resident did not receive scheduled showers as ordered by their physician, with documentation showing only one shower provided over a period of more than three months. The resident's Power of Attorney reported concerns about the lack of routine showers. Review of the resident's physician orders confirmed a standing order for showers twice weekly on the day shift. Examination of the Point of Care (POC) documentation revealed that showers were not provided as scheduled, and there was no documentation indicating that the resident refused care or showers during this period. The Director of Nursing confirmed the lack of both shower provision and refusal documentation, and the resident's care plan did not address refusals of care or showers.