Failure to Provide Scheduled Showers to Dependent Residents
Penalty
Summary
The facility failed to provide scheduled showers to two residents who were dependent on staff for bathing. One resident, admitted with multiple diagnoses including chronic heart failure, paraplegia, and severe obesity, was cognitively intact and required assistance for showers. According to the electronic medical record and shower intervention task reports, this resident missed several scheduled showers over a period of weeks, including a stretch of nine consecutive days without a shower. The resident reported receiving bed baths instead and attributed the missed showers to insufficient staffing, as communicated by CNAs. Another resident, with diagnoses such as hemiplegia, chronic respiratory failure, and altered mental status, was also dependent on staff for bathing. This resident missed multiple scheduled showers, with two separate periods of nine consecutive days without a shower. The resident’s spouse, who shared the room, confirmed that the resident received bed baths but not the scheduled showers. Facility documentation and staff interviews confirmed that showers were scheduled twice weekly, but the residents did not consistently receive them as planned.