Failure to Provide Scheduled ADL Assistance for Resident
Penalty
Summary
A deficiency was identified when a resident with diagnoses including anemia, adult failure to thrive, and malnutrition, who required partial to moderate assistance with showering and bathing, did not receive scheduled ADL (Activities of Daily Living) assistance. The resident's care plan indicated a decline in the ability to perform dressing and hygiene tasks, with interventions to monitor and document self-care ability and assistance provided each shift. Despite being scheduled for showers twice weekly, documentation and staff interviews confirmed that the last recorded shower was over a month prior to the survey. During the survey, the resident was observed with disheveled, sweaty, and greasy hair and reported a preference for showers, stating it had been weeks since the last one. Staff interviews confirmed that nurse aides are required to document completed showers, but records showed a significant lapse in this care. The facility failed to provide the necessary ADL assistance as outlined in the resident's care plan and scheduled routines.