Failure to Provide Scheduled Showers for Dependent Resident
Penalty
Summary
A deficiency occurred when a resident, who was dependent on staff for all bathing and showering needs due to moderate cognitive impairment and multiple medical conditions including osteomyelitis, chronic kidney disease, and congestive heart failure, did not receive the necessary assistance with personal hygiene. The resident's care plan required extensive assistance from one to two staff members for bathing or showering three times per week. However, documentation in the electronic health record showed that the resident received only two out of nine scheduled showers over a three-week period. Observations included a sign in the resident's room from family expressing concern about the lack of showers, and interviews with staff revealed uncertainty about the location of shower documentation sheets. The CNA assigned to the resident's hallway was unable to provide the requested shower documentation, and the DON confirmed that residents are expected to receive showers on a rotating schedule. Facility policy stated that residents unable to perform activities of daily living independently should receive necessary services to maintain personal hygiene.