Failure to Provide and Document Scheduled Showers for Dependent Residents
Penalty
Summary
The facility failed to provide scheduled showers to two residents who required assistance with activities of daily living, specifically bathing. One resident, who was cognitively intact and required help with bathing and toileting due to an indwelling catheter and frequent bowel incontinence, had physician's orders and a care plan indicating scheduled showers twice weekly. However, a review of clinical records, nurse aide bathing reports, and the Treatment Administration Record (TAR) showed no documentation that the resident received showers as scheduled or that refusals were documented, as required. The Director of Nursing confirmed the absence of documentation for both the provision and refusal of showers over several months. Another resident, also cognitively intact and requiring assistance with bathing and toileting due to a history of cerebral vascular accident and frequent incontinence, reported not receiving a shower since admission and stated that showers were never offered. Physician's orders indicated scheduled showers twice weekly with instructions to document refusals. Review of the nurse aide bathing report and TAR revealed no evidence that the resident received or refused showers, nor that bed baths were provided as an alternative. The Director of Nursing confirmed the lack of documentation for this resident as well.