Failure to Provide Required Bathing Assistance to Dependent Residents
Penalty
Summary
Facility staff failed to provide necessary assistance with activities of daily living (ADLs), specifically bathing, to residents who were dependent or required partial assistance. One resident was admitted for rehabilitation and assessed as dependent for bathing, with a care plan and physician orders specifying scheduled showers twice weekly. Despite these orders and the resident's representative requesting showers, documentation and staff interviews confirmed that the resident did not receive any showers from admission until discharge, a period of approximately one and a half months. Another resident, who required partial to moderate assistance with bathing, reported missing multiple scheduled showers. The resident stated that GNAs told them it was unnecessary for staff to remain in the shower room and cited short staffing as a reason for not providing assistance. Review of shower logs and GNA documentation confirmed that several scheduled showers were not provided, with entries marked as not applicable. The DON reviewed and confirmed these findings during the survey.