Failure to Provide Scheduled Showers Due to Staffing Shortages
Penalty
Summary
The facility failed to ensure that Certified Nurse Aides (CNAs) and Shower Aides provided scheduled showers and baths to two residents who required assistance with Activities of Daily Living (ADLs). Both residents had care plans indicating the need for assistance with bathing, and their shower schedules were documented as occurring on specific days of the week. Despite these plans, neither resident received their scheduled showers on the designated days. Interviews with the residents confirmed that they requested showers as per their routine, but staff informed them that showers could not be provided due to short staffing. Documentation in the residents' records did not show evidence that showers were given on the scheduled days. Staff interviews corroborated the residents' accounts, with CNAs stating that when shower aides were unavailable and staffing was insufficient, not all showers could be completed as scheduled. The facility's administration confirmed that there were multiple CNA call-ins and absences on the days in question, resulting in a shortage of staff. Although duties were redistributed, the administration was not aware that the affected residents had missed their showers. Both residents involved were noted to have intact cognition, and one resident expressed discomfort due to not receiving a shower after exercising.