Failure to Provide Scheduled Showers to Dependent Residents
Penalty
Summary
The facility failed to provide scheduled showers to four residents who required assistance with activities of daily living due to various medical conditions, including diabetes mellitus, acute respiratory failure, morbid obesity, motor neuron disease, chronic obstructive pulmonary disease, malignant neoplasm of the cerebrum, epilepsy, hypertension, Huntington's disease, and dysphagia. These residents were dependent on staff for daily hygiene and showering, as documented in their care plans and Minimum Data Set (MDS) assessments. Review of facility records, including shower schedules and documentation, revealed that these residents did not receive showers on multiple scheduled dates, and there was no documentation of refusals or reasons for missed showers. Interviews with residents and the facility administrator confirmed the issue, with one resident reporting not receiving the scheduled number of showers per week and the administrator acknowledging ongoing problems with shower provision since the removal of the dedicated shower aide. The lack of documentation and missed showers affected four out of seven residents reviewed for showers, as verified by both record review and staff interviews.