Failure to Provide Scheduled Showers and Personal Hygiene Assistance
Penalty
Summary
The facility failed to provide necessary assistance with activities of daily living (ADLs), specifically personal hygiene and bathing, for a resident with severe cognitive impairment. The resident, who was admitted with a BIMS score of 0 indicating severe cognitive impairment, required partial to moderate assistance with bathing and transfers. Despite this need, records showed that the resident received only one shower from admission until the date of the survey, and there were no care plan interventions or focus areas addressing ADLs or showers. The resident's name was not included on the shower schedule posted in the shower room, and staff interviews confirmed that the resident was not listed for showers and had not been showered since admission. Further, the resident was observed with greasy hair, and staff could not confirm whether the resident had been bathed as required. The facility's policy stated that residents should receive showers according to their preferences, care plan, and scheduled protocol, but this was not followed for the resident in question. The DON acknowledged that residents were expected to receive showers at least three times a week unless refused, but could not provide additional shower records for the resident. This lack of care and documentation resulted in the resident not receiving adequate personal hygiene services.