Failure to Provide Bathing Assistance to Dependent Residents During COVID Isolation
Penalty
Summary
The facility failed to provide adequate bathing assistance to four residents who were dependent on staff for activities of daily living (ADLs) during their temporary relocation to the COVID isolation unit. These residents, some of whom were receiving hospice services and had varying levels of cognitive impairment and incontinence, did not receive scheduled showers or alternative bathing assistance for extended periods, ranging from six to thirteen days. Documentation such as shower sheets and care plans lacked specific instructions on bathing frequency, and there was no record of showers or bed baths being provided during the isolation period for these residents. Interviews with residents revealed that they were not offered showers or assistance with bathing while on the COVID isolation unit, despite requesting help from staff. Some residents reported feeling dirty, not having changed clothes, or not having brushed their teeth for several days. Observations confirmed physical signs of poor hygiene, such as greasy hair and unshaven facial hair. Staff interviews indicated confusion regarding responsibilities for providing showers, especially for residents on hospice, and inconsistent documentation of care provided. Facility leadership, including the DON, ADON, and Administrator, acknowledged that residents were supposed to receive showers at least twice a week, including those on the COVID isolation unit and those receiving hospice care. However, there was a lack of clear documentation and follow-through, particularly when the designated shower aide was absent or when the shower facility was temporarily out of service. Staff reported that bed baths were to be provided when the shower was unavailable, but these were not documented. The deficiency was identified through observation, interview, and record review, highlighting a failure to ensure basic hygiene care for dependent residents during a critical period.