Failure to Provide Required Showers for Dependent Resident
Penalty
Summary
A deficiency occurred when a resident who was dependent on staff for bathing did not receive the required two showers per week as documented in facility policy. The resident, who had multiple sclerosis, recurrent depressive disorders, and chronic kidney disease, was cognitively intact and expressed a preference for showers over bed baths. Medical record review showed the resident received only one shower per week over several weeks, with a bed bath provided instead of a second shower. Interviews with the resident and the DON confirmed the lack of scheduled showers, with the resident reporting that only one CNA ensured showers were given, and that other CNAs cited insufficient staffing as the reason for not providing showers. Facility policy required CNAs and nursing staff to provide and document daily ADL care, which was not consistently followed in this case.