Failure to Provide Scheduled Bathing and Showering Assistance
Penalty
Summary
The facility failed to provide adequate assistance with activities of daily living (ADLs), specifically bathing and showering, for three residents who required such care. Documentation and interviews revealed that these residents were not consistently offered or given showers according to their scheduled times, despite their care plans indicating a need for assistance due to conditions such as limited mobility, legal blindness, and cognitive impairments. For example, one resident was scheduled for showers twice weekly but received significantly fewer showers than scheduled over several months, as confirmed by both electronic records and shower sheets. This resident was observed to be unkempt and reported not receiving showers as scheduled. Another resident, who required ADL assistance due to cognitive impairments, was also not provided showers according to the facility's schedule. Documentation showed discrepancies between the number of showers scheduled and those actually given, with the resident expressing frustration about not receiving at least two showers per week. Staff interviews confirmed that this resident did not typically refuse showers, and the DON acknowledged that the resident was not offered enough showers. A third resident, dependent on staff for multiple ADLs due to paralysis and limited mobility, similarly did not receive showers as scheduled. Documentation indicated that the resident was given fewer showers than scheduled, and the resident's representative reported that the resident frequently complained about not being bathed enough and was sometimes found soiled. Staff interviews and record reviews confirmed issues with both the provision and documentation of showers, with the DON unable to explain missing documentation or blank entries.