Failure to Provide Showers per Resident Preference
Penalty
Summary
A resident with multiple complex medical conditions, including chronic diastolic congestive heart failure, diabetes, hypertension, dementia, and other diagnoses, was admitted to the facility and was totally dependent on staff for activities of daily living, including bathing. The resident's care plan and admission assessment documented that the resident or their representative preferred daily showers. Despite this documented preference, review of bathing records showed that the resident did not receive showers daily; instead, the resident received a combination of bed baths and showers, with at least one day where no bath was documented. There was no documentation of the resident refusing showers, and staff confirmed that no refusal sheets existed for this resident. Facility policy required routine daily care, including bathing, to be provided by certified nursing assistants under the supervision of a licensed nurse. However, the facility failed to ensure that the resident received showers according to their stated preference. This deficiency was identified through record review, hospice communication, and staff interview, and it affected one resident reviewed for showers during the survey.