Failure to Provide Scheduled Showers to Multiple Residents
Penalty
Summary
The facility failed to provide scheduled showers to six out of eight residents reviewed, as evidenced by clinical record reviews, staff and family interviews, and direct observations. Multiple residents, including those with cognitive impairments and those requiring moderate to total assistance for activities of daily living, did not receive showers according to their documented preferences and schedules. Instead, these residents were given bed baths on several occasions, with no documentation that showers were offered on the scheduled days. For example, one resident with cognitive impairment and moderate care needs was scheduled for showers twice weekly but only received bed baths on select dates, with no evidence of being offered showers on other scheduled days. Another resident with diabetes mellitus received only a bed bath and was unaware of her shower schedule, expressing a preference for showers over bed baths. Observations noted that this resident appeared unkempt, with greasy hair and dirty fingers. Additional residents, both cognitively impaired and intact, also missed scheduled showers, with records showing only bed baths provided and no documentation of showers being offered. Interviews with these residents revealed dissatisfaction with the lack of showers, with one resident reporting feeling unclean and experiencing a rash, and another stating that showers were missed when there was insufficient staff. The DON and Nursing Home Administrator confirmed the absence of documentation for showers on the specified dates. These findings indicate a failure to provide care and assistance with activities of daily living, specifically bathing, as required by facility policy and resident preference.