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F0561
D

Failure to Honor Resident Bathing Preferences

Tacoma, Washington Survey Completed on 06-12-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to honor and facilitate a resident's choice regarding their bathing schedule. A resident with cerebral palsy, urinary tract infection, and muscle weakness, who was able to communicate their needs, reported that they could not set their own shower time and that showers were only scheduled twice a week at specific times, which were not consistently followed. Observations and interviews revealed that showers were assigned based on room and bed location, and although the resident was scheduled for a shower on certain days, the showers were not provided as planned. Documentation review confirmed that showers were not given on the scheduled days. Staff interviews indicated that while the expectation was to ask for and honor resident preferences, this did not occur for the resident in question. The deficiency was identified through observation, resident and staff interviews, and review of shower documentation, showing a failure to support resident self-determination and choice as required.

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