Failure to Honor Resident's Shower Frequency Preference
Penalty
Summary
A deficiency occurred when the facility failed to honor a resident's expressed preference for shower frequency. The resident, who had intact cognition and required supervision for showering, was scheduled for showers twice weekly on specific days and shifts, as indicated by the facility's shower schedule and documentation. Despite the resident's request, made known during a care conference and to the Social Services Designee, to receive showers at least three times per week, the facility continued to provide and schedule only two showers per week. The facility's shower schedule included a note instructing staff not to change shower days for residents, and the schedule matched what was listed in the electronic medical record. Interviews with the resident, the Social Services Designee, and a Registered Nurse confirmed that the resident's request for increased shower frequency was not accommodated. The facility's policy stated that residents have the opportunity to express their preference for bathing type, frequency, and time of day, but this policy was not followed in the resident's case. The failure to support the resident's choice regarding shower frequency was identified through medical record review, staff and resident interviews, and review of facility documentation.