Failure to Provide Scheduled ADL Bathing Assistance
Penalty
Summary
The facility failed to provide adequate assistance with activities of daily living (ADL), specifically bathing or showering, for three residents who required varying levels of support. Documentation and interviews revealed that these residents did not consistently receive showers or baths according to the facility's established schedule. In several instances, there were gaps of multiple days where no evidence was found that residents were offered or assisted with bathing, and in some cases, residents reported not receiving a shower since admission except for a single occasion. One resident, admitted with fractures and requiring substantial to maximal assistance, was scheduled for showers three times a week but only received one documented shower during the review period. The resident confirmed not being assisted with showers as expected and expressed that even if one shower was provided, it was insufficient. Another resident with heart failure and muscle atrophy, also requiring significant assistance, was scheduled for showers on alternate days but experienced periods of up to seven days without documentation of being offered or assisted with a bath or shower. This resident also reported inconsistencies in receiving scheduled showers. A third resident, with dementia and failure to thrive, required partial to moderate assistance and was scheduled for showers three times a week. Documentation showed only three showers provided in the month, with several refusals noted, but also multiple periods of up to seven days with no documentation of being offered or assisted with bathing. The facility administrator confirmed that the shower schedule was not followed for these residents, as reflected in the facility's records.