Failure to Provide Scheduled Bathing Assistance and Documentation
Penalty
Summary
A deficiency occurred when a resident who required assistance with activities of daily living, specifically bathing, did not receive the necessary care. The facility's policy required CNAs to document daily ADL care, including bathing, as a permanent part of the resident's chart. However, observations revealed that the resident had a foul odor and was wearing the same clothing on consecutive days. The resident and his brother, who is also his roommate, both reported that the resident had not received a bath or shower since admission two weeks prior. Staff interviews confirmed uncertainty about when the resident last received a bath or shower, and documentation of bathing was absent from the resident's records for the relevant period. The resident was admitted with diagnoses including Parkinson's Disease and was assessed as cognitively intact with a BIMS score of 15. Despite being scheduled for baths on Mondays, Wednesdays, and Fridays, there was no evidence that these were provided. Both CNA and LPN staff were unable to recall or provide documentation of bathing, and the DON confirmed the resident should have received scheduled baths. The lack of documented and observed bathing care constituted a failure to provide required assistance with ADLs for this resident.