Failure to Provide Scheduled Showers and Hygiene Assistance
Penalty
Summary
A deficiency was identified when a resident with chronic obstructive pulmonary disease, atrial fibrillation, and type 2 diabetes mellitus, who required partial to moderate assistance with bathing, did not receive showers as scheduled. Record review showed that the resident was scheduled for showers on specific days, but there was a missing shower sheet for one of the scheduled days, and the resident reported only receiving one bath since admission, which was a week prior. The resident expressed dissatisfaction with his hygiene and was unaware of his scheduled bath days, stating that he only received a shower after reporting the issue to the DON. During observation, the resident's hair appeared greasy and disheveled. Interviews with staff, including a CNA, LVN, and the DON, revealed that they were not aware of any missed showers or refusals by the resident. The CNA stated that showers were provided according to the schedule and emphasized the importance of maintaining hygiene. The DON and Administrator both indicated that showers should be completed as scheduled and monitored by nursing staff. Facility policy required that residents unable to perform ADLs independently receive necessary services to maintain hygiene, but this was not consistently provided in this case.