Failure to Provide Scheduled Showers and Maintain Personal Hygiene
Penalty
Summary
The facility failed to provide necessary services to maintain personal hygiene for a resident who required assistance with activities of daily living (ADLs), specifically bathing. Review of records showed that the resident received only three showers or baths within a two-week period, despite being scheduled for showers three times per week. Documentation indicated that on at least two occasions, showers were marked as refused, but the resident and her family denied any refusals, instead citing facility water issues as the reason for missed showers. Interviews with the resident, her family, and multiple staff members confirmed inconsistencies in the provision of scheduled showers. The resident reported that her shower days were set, but one was skipped due to the water being off, and she had to take a sponge bath instead. Staff interviews revealed that CNAs and a shower aide were responsible for providing showers, with oversight from the charge nurse. Staff described procedures for documenting refusals and ensuring showers were rescheduled, but the records and resident accounts indicated that these procedures were not consistently followed. The facility's policy required that care and services for ADLs, including bathing, be provided based on the resident's assessment and needs. Despite this, the resident did not receive the scheduled number of showers, and her linens were not changed as expected. The deficiency was identified through record review and interviews, which demonstrated a failure to provide adequate personal hygiene care as required by facility policy and the resident's care plan.