Failure to Follow and Revise ADL Care Plans for Bathing and Hygiene
Penalty
Summary
The facility failed to follow and/or revise care plans for Activities of Daily Living (ADL) related to bathing and personal hygiene for three residents. Observations and interviews revealed that residents experienced missed showers and unkept appearances, including body odor, without documented refusals or individualized care plans reflecting their preferences. For example, one resident was observed to have body odor on multiple occasions and reported that showers were not given regularly. The care plan indicated staff assistance for sponge baths twice weekly and as needed, but did not specify individualized days or whether a sponge bath was the resident's preferred method of bathing. Shower records showed only four showers in a 30-day period, and there was no documentation of refusals in the progress notes. Another resident reported inconsistent assistance with bathing and hygiene, stating that some staff were helpful while others were not, and that there were staffing shortages on certain shifts. The care plan called for staff assistance with showers twice weekly and as needed, but again lacked individualized scheduling or documentation of resident preferences. Shower records indicated missed showers on specific days, with no documented refusals. A third resident expressed dissatisfaction with receiving only quick bed washes instead of showers, which he did not like. The care plan included staff assistance for showers and instructions to reapproach and document refusals, but only two showers were recorded in a 30-day period, and no refusals were documented in the progress notes.