Failure to Provide Scheduled ADL Care and Bathing to Dependent Residents
Penalty
Summary
The facility failed to provide activities of daily living (ADL) care, specifically bathing and personal hygiene, to several dependent residents as scheduled. Multiple residents who required assistance with bathing did not receive showers or bed baths according to their care plans and facility schedules. Documentation revealed missed showers on numerous scheduled days, with some residents going extended periods without any form of bathing. In several cases, there was no documentation to explain the missed care, and refusals were not consistently recorded. Observations and interviews confirmed the lack of care. One resident was overheard expressing concern about body odor due to missed showers, and another was found in a disheveled state with dirty clothing, foul body odor, and a room with a strong urine smell. Staff, including nurse aides and a corporate nurse, acknowledged the poor condition of these residents and the failure to provide scheduled showers. The corporate nurse confirmed that the residents should have received more frequent bathing and agreed with the surveyors' findings regarding the lack of care. The records and direct observations indicated that the affected residents were dependent on staff for bathing and personal hygiene. Despite being scheduled for regular showers, these residents received significantly fewer than required, with some receiving only a few showers over a 30- to 60-day period. The lack of proper documentation and the physical state of the residents at the time of survey further substantiated the deficiency in providing necessary ADL care.