Failure to Provide Timely Bathing and Personal Hygiene Assistance
Penalty
Summary
Staff failed to provide timely and adequate assistance with activities of daily living (ADLs), specifically bathing and personal hygiene, to a resident who was dependent on staff for these tasks. The resident, admitted with diagnoses including left knee effusion, depression, anxiety disorder, and chronic kidney disease, had a care plan indicating a need for assistance with self-care and mobility, and a preference for baths at a specific time. Facility records showed the resident was scheduled for bed baths twice weekly and required partial to moderate assistance with personal hygiene, including shaving. However, documentation from a one-month period revealed no record of the resident receiving a bath or shaving during that time. Observations confirmed the resident had significant facial hair growth, and interviews with staff indicated that scheduled bathing and shaving were not provided or documented as required. CNAs and LPNs acknowledged the lack of documentation and confirmed that shaving should have been offered during scheduled bathing days. The DON verified that such care was expected and that documentation was only maintained electronically in the shower/bath task, which showed no evidence of care being provided during the review period.