Failure to Honor Resident's Bathing Preferences and Provide Person-Centered Care
Penalty
Summary
The facility failed to honor a resident's preferences and provide necessary care and services to maintain the highest practicable physical and psychosocial well-being. The resident, who has been in the facility for five years and is mentally intact with no upper or lower extremity impairment, reported that a CNA attempted to assist with a shower despite the resident's clear preference and ability to bathe independently. The resident expressed discomfort with the CNA's actions, stating that previous staff had respected her wishes by only assisting with her back and providing privacy. The resident reported feeling uncomfortable and stated that she no longer wanted staff to touch her, preferring to use a back brush and complete bathing tasks independently. Interviews with staff confirmed that the resident is capable of washing independently and often refuses assistance, including skin checks. The CNA involved was not aware of the resident's showering preferences at the time of the incident. Review of the care plan revealed that the resident's bathing and shower preferences were not documented until after the incident, despite a long-standing history of independence in this area. The lack of awareness and documentation of the resident's preferences led to the provision of care that did not align with her wishes, resulting in psychosocial distress.