Failure to Provide Scheduled Showers and Hygiene Assistance
Penalty
Summary
The facility failed to provide necessary assistance with activities of daily living (ADLs), specifically bathing and personal hygiene, for three residents who were unable to perform these tasks independently. For one resident with moderate cognitive impairment and multiple diagnoses, documentation showed missed scheduled showers, with the resident and staff interviews confirming that showers were often delayed or not provided as scheduled. The care plan for this resident included specific interventions for negotiating ADL times and reattempting care after refusals, but these were not consistently followed, and the resident reported only receiving a shower about once a week despite being scheduled for three times weekly. Another resident, who was cognitively intact but required moderate assistance with showering, also did not receive scheduled showers or bed baths on several occasions. This resident expressed feeling unclean and dissatisfied with the infrequency of bathing, stating a desire to receive showers at least three times a week as scheduled. Documentation confirmed multiple missed showers, and the care plan required staff assistance with personal hygiene and bathing, which was not consistently provided. A third resident with moderate cognitive impairment and significant physical limitations received only one documented bath in a month, despite being scheduled for multiple showers per week. Observations noted the resident wearing soiled clothing, and both the resident and staff interviews indicated that showers were frequently missed due to time constraints and staffing issues. Staff reported that missed showers were communicated to supervisors, but no changes were made, and there was a lack of clarity and follow-through regarding responsibility for completing showers on different shifts. The facility's policy required bathing according to the resident-centered plan of care, but this was not adhered to for these residents.