Failure to Offer and Document Showers for Resident with ADL Deficit
Penalty
Summary
A deficiency was identified when a resident was not offered a shower for a period of 15 days. The resident's care plan, initiated on May 30, 2025, indicated an Activities of Daily Living (ADL) self-care performance deficit related to her diagnoses, with an intervention specifying that she could bathe with one-person staff assistance. The Minimum Data Set assessment dated June 11, 2025, documented that the resident required substantial to maximal assistance for showering or bathing. Review of the shower log showed that the resident received a shower on June 13, 2025, which was the first in 15 days. During an interview, the DON stated that all residents are offered showers twice weekly and that refusals or requests for additional showers are accommodated and should be documented. The DON further explained that the resident had refused showers, but staff failed to document these refusals. Additionally, the DON stated that some showers may have been given but not documented. The lack of documentation and the extended period without a recorded shower led to the finding that the facility failed to provide services consistent with the resident's needs and choices.