Failure to Provide Scheduled Showers and Hair Washing for Dependent Resident
Penalty
Summary
A deficiency was identified when a resident, who was totally dependent on staff for activities of daily living due to functional quadriplegia and severe cognitive impairment, did not receive showers as scheduled. The resident's care plan specified that hair should be washed during showers at least once a week, and the resident was scheduled for showers twice weekly. However, documentation showed that the resident only received one shower during the month reviewed, and there was no evidence that hair washing was performed according to the care plan. The resident's representative reported that the resident's hair was not being washed as requested, resulting in the hair becoming filthy and an open area developing on the back of the head, which was attributed to tightly braided hair. Staff interviews and review of clinical records confirmed the lack of documented showers and hair washing. The DON also confirmed the absence of documentation supporting that the resident received hair washing as outlined in the care plan.