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F0561
D

Failure to Honor Resident's Shower Preference

Middle River, Maryland Survey Completed on 10-09-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

A resident with Parkinson's Disease, who is dependent on staff for activities of daily living (ADLs), expressed a clear preference for receiving showers rather than bed baths. Despite a physician's order specifying a weekly shower schedule and the resident's stated preference, the resident reported not having received a shower in over two years. The resident also noted that the shower room on the unit was not in use and was being used to store wheelchairs. Medical record review confirmed that the resident's care plan did not include the preference for showers and that documentation for the month showed only bed/towel baths were provided, with no record of showers. Interviews with facility leadership, including the DON, confirmed that resident preferences should be honored and reflected in the care plan, but this was not done in this case.

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