Failure to Support Resident Choice for Showers and Mobility
Penalty
Summary
Facility staff failed to honor and facilitate resident self-determination by not providing opportunities for residents to receive showers or get out of bed, as evidenced by observations and interviews with two residents. One resident reported not getting out of bed despite wanting to, and it was observed that the only available chair in the room was used by the roommate. Both residents were observed in bed over a two-day period, and one resident confirmed not having had a shower since admission in October 2023. A review of the electronic health records and shower schedules revealed no documentation verifying that either resident had received a shower. The scheduled care indicated complete bed baths for both residents on specific days and shifts, but there was no place in the electronic medical record for staff to document showers. Staff confirmed the lack of documentation options, and the Director of Nursing was made aware of the situation, with both residents verifying the lack of showers and opportunities to get out of bed.