Failure to Provide Scheduled Showers for Resident Requiring ADL Assistance
Penalty
Summary
The facility failed to provide necessary care and services to ensure that a resident's ability to perform activities of daily living (ADLs), specifically bathing/showering, did not diminish without a medical reason. A resident admitted with a history of pelvic fracture, chronic pain, and spinal stenosis required supervision or touch assistance from one person for bathing. Despite this, documentation showed that the resident received only two showers in November, with a gap of ten days without a shower from admission onward. The resident reported going almost two weeks without a shower and expressed a desire for more frequent bathing. Staff interviews revealed that residents are scheduled for showers at least once a week, and refusals are documented after multiple encouragement attempts. However, the resident in question was not provided showers according to this schedule, and there was no documentation of refusals during the period in question. The Director of Nursing confirmed that residents are placed on a shower schedule and that adjustments are made for special requests, but could not provide additional documentation to show showers were offered or provided to the resident after admission.