Failure to Provide Scheduled Showers for Resident Requiring ADL Assistance
Penalty
Summary
The facility failed to provide adequate assistance with activities of daily living (ADLs), specifically showers or baths, for a resident who required partial to moderate help. The resident, who had diagnoses including unsteadiness on feet, a healing femur fracture, abnormal gait, and a need for personal care assistance, was admitted and later discharged within a specified period. According to the admission MDS assessment, the resident required staff support for bathing. Documentation showed that the resident received only two showers during her stay, with one documented refusal. The facility's shower schedule required showers three times a week for residents, and refusals were to be documented in the electronic medical record and progress notes. Review of the resident's records, including the documentation summary report, shower sheets, and progress notes, confirmed that showers were not provided according to the established schedule. The DON verified that only two showers were given between admission and discharge, and that CNAs were responsible for both providing and documenting showers, as well as reporting refusals. The lack of adherence to the shower schedule and incomplete documentation led to the deficiency in providing necessary ADL care for the resident.