Failure to Provide Scheduled Showers to Dependent Resident
Penalty
Summary
Facility staff failed to provide adequate personal hygiene care to a dependent resident by not offering or providing scheduled showers. The resident, who is totally dependent for bathing and requires extensive assistance for all activities of daily living as documented in the Minimum Data Set (MDS), did not receive any showers between 3/25/2025 and 4/18/2025, despite being scheduled for showers every Tuesday and Friday. This was confirmed through review of the Geriatric Nursing Assistant (GNA) task documentation on the Task Administration Record (TAR), which showed no showers were documented during this period. Interviews with the resident's family revealed that the resident expressed dissatisfaction with only receiving bed baths and desired a shower. The resident's son reported that the resident's spouse, who is physically unable to assist with showers, provided a sponge bath instead, during which the water and washcloth became black with dirt. The resident also reported feeling itchy due to lack of proper washing. The Director of Nursing (DON) confirmed the absence of shower documentation for the resident during the specified timeframe.