Failure to Provide Scheduled Showers and Accurate Documentation for Dependent Resident
Penalty
Summary
Facility staff failed to provide appropriate assistance with activities of daily living (ADLs) for a resident who was dependent on staff for showers. The resident reported that scheduled showers were not provided as expected on Wednesdays and Saturdays during the evening shift, and instead, staff offered bed baths. The resident also stated that staff sometimes documented refusals for showers that did not occur, indicating a discrepancy between the resident's account and staff documentation. A review of the facility's shower log and electronic medical records revealed inconsistent documentation of shower provision, with only a few dates recorded for showers over several months. There was no documentation explaining why the resident did not receive showers on other scheduled days, nor was there evidence of documented refusals. The Assistant Director of Nursing confirmed that staff were expected to provide showers and document any refusals, but this was not consistently done for the resident in question.