Failure to Provide and Document Scheduled Showers for Dependent Resident
Penalty
Summary
A deficiency occurred when a resident with hemiplegia and hemiparesis following a stroke, who required staff assistance for bathing, was not provided showers as scheduled. Record reviews showed missing documentation for several scheduled shower days, and there was no evidence in nursing notes that the resident refused showers. The resident reported not receiving a shower for a week and expressed discomfort and dissatisfaction with the lack of bathing. Staff interviews confirmed the importance of documenting showers and monitoring that residents receive them, but documentation was missing for the relevant dates. The facility's policy outlined the goals and procedures for bathing but did not specify requirements for documenting showers or refusals. The ADON and DON acknowledged the need for proper documentation and monitoring, and the administrator stated that care should be provided as scheduled and documented. The lack of documentation and missed showers for the resident led to the deficiency, as the necessary services to maintain personal hygiene were not consistently provided or recorded.