Failure to Provide Scheduled Showers for Resident Needing ADL Assistance
Penalty
Summary
A deficiency occurred when a resident, admitted with generalized weakness, major depressive disorder, and cognitive communication deficit, was not provided a shower on scheduled shower days during the first week of admission. The resident's care plan indicated a need for assistance with activities of daily living (ADLs) and specified that the resident was at risk for ADL/mobility decline. Despite being scheduled for showers twice a week, documentation showed that the resident did not receive or was not offered a shower on the first two scheduled days after admission. Interviews with staff confirmed that showers were to be offered and refusals documented, but there was no record of showers being offered or provided on those days. Review of the facility's records and interviews with the CNA, Charge Nurse, ADON, and DON confirmed that the resident should have received showers on the scheduled days, and that documentation was lacking for those dates. The facility's ADL policy required appropriate care and services, including hygiene, but there was no specific policy for resident showers. The lack of documentation and failure to provide or offer showers as scheduled led to the deficiency.