Failure to Provide Scheduled Showers for Resident Requiring ADL Assistance
Penalty
Summary
A deficiency was identified when a resident, who was alert and cognitively intact with a BIMS score of 14/15 and diagnoses including type II diabetes and acute respiratory failure, did not consistently receive scheduled showers as required by their care plan. The resident was observed in bed and reported that while they had received a shower the previous day, they were not regularly provided showers and often only received bed baths. Review of the resident's clinical and task records over a 30-day period showed multiple missed scheduled showers, with some days where neither a shower nor a bed bath was documented, and no notes indicating refusals or preferences for bed baths on those dates. Further investigation included interviews with the CNA assigned to the resident, who confirmed that showers are generally given twice per week and stated that they provide showers as preferred by residents. However, documentation did not support that the resident's preferences were honored or that refusals were recorded. Additionally, a grievance regarding missed showers was submitted by the resident, but it had not yet been fully addressed at the time of the survey.