Failure to Provide Scheduled Showers and Restorative Care per Resident Care Plans
Penalty
Summary
The facility failed to ensure that activities of daily living (ADLs) and restorative care were provided according to standards of practice and resident care plans for two out of three sampled residents. One resident, who was dependent on staff for showering and required maximum assistance with transfers, toileting, and bed mobility, did not receive all scheduled weekly showers. Documentation showed that on one occasion the resident refused, but on another scheduled shower day, there was no documentation of the shower being provided, no explanation for the omission, and no evidence that the issue was reported to a supervising nurse. Another resident, with diagnoses including cerebral palsy and developmental disability and who required maximum assistance with most ADLs, also did not receive scheduled weekly showers or restorative care as outlined in their care plan. Documentation for several scheduled shower days was either marked as not applicable or left blank, with no explanation or follow-up. Additionally, there was missing documentation for restorative care activities such as bed mobility and ambulation on multiple dates. Facility administration was unable to provide further documentation or evidence that these missed cares were reported or addressed.