Failure to Provide Timely ADL Care: Bathing and Grooming
Penalty
Summary
A deficiency was identified when a resident who required partial to moderate assistance with bathing and set up or clean-up assistance for shaving did not receive these services as needed. The resident, who was cognitively intact, reported not having had a shower in two weeks and not being offered a shower on the morning of observation. The resident also expressed discomfort due to long facial whiskers and disheveled hair, stating a desire to be shaved and to have a haircut. Observations confirmed the resident remained unshaved and unkempt over multiple days. Interviews with facility staff, including the DON and a CNA, revealed that showers and shaving were scheduled weekly, typically on the same day. However, review of the CNA shower log showed the resident had not received a shower since a specific date and had not refused care. The resident's care plan indicated a need for one-person assistance with showers. Facility policy required provision of ADL care, including bathing and grooming, but this was not followed for the resident in question, resulting in unmet care needs.