Failure to Provide Scheduled Bathing Assistance for Dependent Residents
Penalty
Summary
The facility failed to provide scheduled activities of daily living (ADL) assistance, specifically with bathing or showering, for three residents who required varying levels of staff support. Documentation and interviews revealed that these residents, each with significant medical conditions such as cognitive impairment, muscle weakness, mobility issues, and a history of falls, did not consistently receive showers or baths according to their care plans and the facility's established shower schedule. For example, one resident, who was cognitively intact but physically dependent, reported not receiving showers three times a week as ordered, with records confirming multiple gaps of six to seven days without documentation of bathing assistance or offers. Similarly, another resident requiring partial to moderate assistance and a third resident with severe cognitive impairment and total dependence both experienced extended periods without documented bathing or showering, despite being scheduled for showers three times weekly. Facility records showed multiple instances where there was no documentation that these residents were offered or assisted with bathing, and in one case, only a single refusal was recorded during a prolonged gap. The Regional Nurse Consultant confirmed that the shower schedule was not followed for these residents.