Failure to Provide Consistent Assistance with Showers and Personal Hygiene
Penalty
Summary
The facility failed to provide necessary assistance with activities of daily living, specifically showers and personal hygiene, to dependent residents. Interviews and record reviews revealed that three out of four sampled residents did not consistently receive scheduled showers or bed baths. One resident reported that showers were dependent on staffing levels and denied refusing showers, despite records indicating refusals. Another resident stated she had only received a bed bath and a shower since admission and expressed that receiving two baths a week was rare. A third resident indicated that while she was scheduled for two showers a week, whether she received them depended on which staff were working, and she denied refusing care. Record reviews showed gaps of up to nine days without a shower or bed bath for some residents. Nursing assistants interviewed confirmed that it was sometimes difficult to provide all scheduled showers, particularly in the evenings, due to staffing challenges. The administrator provided shower logs and confirmed their accuracy. The findings indicate that the facility did not consistently provide dependent residents with the required assistance for personal hygiene, as evidenced by missed or delayed showers and bed baths, and discrepancies between resident statements and documentation.